Abstract
It is our purpose in this paper to describe a technique of scleral shortening with incarceration of a hinged roll of sclera. This procedure was evolved to obtain the advantages of a reduced scleral arc and a large and long-lasting choroidal fold without introducing a foreign body such as a plastic tube. From 1954 to 1958 we have operated on 97 cases, using the following method. To obtain adequate scleral exposure a conjunctival incision is made 10 to 12 mm. from the limbus. If the area to be operated on is confined to one quadrant, an episcleral traction suture is used; if there is more than one quadrant requiring surgery or if the optimum area for operation straddles a muscle, this rectus muscle is detached and a traction suture is placed through its tendon stump on the sclera. The location and extent of the scleral incisions will of course be
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