Incomplete Cut Research Articles

Hiding the evidence: Preliminary investigation of heat-induced alterations to pre-existing saw mark trauma

Dismemberment and subsequent burning are common methods employed in an attempt to conceal or destroy evidence. While kerf characteristics can be utilised to identify tool(s) used for dismemberment, further research is necessary to assess the effect of burning on these characteristics. In this study, a back (tenon) saw (13 teeth per inch) was used to manually inflict trauma on Ovis aries de-fleshed femur bones (n = 18). Three different cut marks (shallow false start, incomplete cut and complete transection) were made on the mid-shaft of each bone. Subsequently, the bones were burned for 20 minutes in a muffle furnace. Three burn temperatures were assessed: 400 °C, 600 °C and 800 °C. Saw mark characteristics of each cut type were assessed and compared pre- and post-burning. All pre-existing trauma was recognisable post-burning; however, metric and morphological alterations were apparent. An increase in kerf width was observed at 600 °C in false start lesions and 800 °C in incomplete cuts. Breakaway spur thickness decreased post-burning (at 400 °C and 800 °C) but length was not significantly affected. Mean inter-striation distance decreased post burning at all temperature groups. Saw marks were distinguishable from heat-related fractures across all temperature groups. One false start lesion was obliterated at 800 °C. Exit chipping, pull-out striae as well as striation regularity appeared to be more enhanced after heat exposure. These alterations indicate a temperature-dependent impact on these characteristics. Further research is necessary to assess the role of burn duration.

Adverse Events of Femtosecond-Assisted Laser-Assisted In situ Keratomileusis: A Manufacturer and User Facility Device Experience Database Study.

To analyze the United States Food and Drug Administration's Manufacturer and User Facility Device Experience (MAUDE) database, which contains reports of adverse events involving medical devices, and characterize the most common adverse events of femtosecond (FS) laser-assisted in situ keratomileusis (LASIK). The MAUDE database was queried on May 19, 2022, for adverse events involving the ophthalmic FS laser reported from January 2012 to April 2022. Reports unrelated to LASIK procedures were excluded. Data extraction was performed on these reports, including the type of adverse event and whether surgery was successfully completed. Frequency analysis was performed using the Statistical Package for the Social Sciences. From the 3491 reported adverse events involving the FS laser system, 1136 met the inclusion criteria. Of the 672 cases where outcomes were reported, 476 were successfully completed and 196 were aborted. The most common intraoperative complications were incomplete cut (42.8%), thinner than intended flap (17.6%), and difficulty lifting the flap (12.0%). FS-related complications included opaque bubble layer (2.3%), air bubbles in the anterior chamber (2.4%), and vertical gas breakthrough (4.1%). Other device-related intraoperative complications included suction loss (10.2%), difficulty docking (2.4%), and laser malfunction (2.0%). The most common postoperative complications were diffuse lamellar keratitis (DLK) (7.8%) and rainbow glare (4.6%). The most common intraoperative FS-assisted LASIK complication in the MAUDE database was an incomplete flap. The most common postoperative complication was DLK. This study is the first to investigate FS-assisted LASIK adverse events in the MAUDE database. It can raise awareness of real-world surgical complications and help ophthalmologists better counsel and treat patients.

Geometric mechanics of ordered and disordered kirigami

The presence of incomplete cuts in a thin planar sheet can dramatically alter its mechanical and geometrical response to loading, as the cuts allow the sheet to deform strongly in the third dimension, most beautifully demonstrated in kirigami art-forms. We use numerical experiments to characterize the geometric mechanics of kirigamized sheets as a function of the number, size and orientation of cuts. We show that the geometry of mechanically loaded sheets can be approximated as a composition of simple developable units: flats, cylinders, cones and compressed Elasticae. This geometric construction yields scaling laws for the mechanical response of the sheet in both the weak and strongly deformed limit. In the ultimately stretched limit, this further leads to a theorem on the nature and form of geodesics in an arbitrary kirigami pattern, consistent with observations and simulations. Finally, we show that by varying the shape and size of the geodesic in a kirigamized sheet, we can control the deployment trajectory of the sheet, and thence its functional properties as an exemplar of a tunable structure that can serve as a robotic gripper, a soft light window or the basis for a physically unclonable device. Overall our study of disordered kirigami sets the stage for controlling the shape and shielding the stresses in thin sheets using cuts.

Efficacy of femtosecond laser for anterior capsulotomy in complex white cataracts

To determine the advantages and complication rate of capsulotomy performed with femtosecond laser in white complex cataract cases. Retrospective case series. Sixteen eyes of 16 patients. This was a single-center retrospective review of white cataract surgery cases in which the femtosecond laser (LenSx, Alcon Laboratories, Fortworth, Texas, USA) was used between May 2019 and February 2021. Outcome measures included an assessment of the capsulotomy, identification of tags, surgical time, cumulative dispersed energy (CDE) and postoperative management. Sixteen eyes of 16 patients were included in this study; capsule tags occurred in six patients (37.5%). In 2 patients, the capsule presented small adhesions that were identified and removed. One patient presented a very significant contraction of the anterior capsule with an incomplete cut zone of 2 to 4hours. In a patient with nystagmus, the capsulotomy was performed without complications under peribulbar anesthesia. The femtosecond laser permitted capsulotomies of better shape, size and regularity in complex cases of white cataract and in combination with conditions such as nystagmus and prior corneal transplantation. The microadhesions and untreated areas were identified with trypan blue, which is essential to use in these cases to avoid associated complications.

FlashFill++: Scaling Programming by Example by Cutting to the Chase

Programming-by-Examples (PBE) involves synthesizing an "intended program" from a small set of user-provided input-output examples. A key PBE strategy has been to restrict the search to a carefully designed small domain-specific language (DSL) with "effectively-invertible" (EI) operators at the top and "effectively-enumerable" (EE) operators at the bottom. This facilitates an effective combination of top-down synthesis strategy (which backpropagates outputs over various paths in the DSL using inverse functions) with a bottom-up synthesis strategy (which propagates inputs over various paths in the DSL). We address the problem of scaling synthesis to large DSLs with several non-EI/EE operators. This is motivated by the need to support a richer class of transformations and the need for readable code generation. We propose a novel solution strategy that relies on propagating fewer values and over fewer paths. Our first key idea is that of "cut functions" that prune the set of values being propagated by using knowledge of the sub-DSL on the other side. Cuts can be designed to preserve completeness of synthesis; however, DSL designers may use incomplete cuts to have finer control over the kind of programs synthesized. In either case, cuts make search feasible for non-EI/EE operators and efficient for deep DSLs. Our second key idea is that of "guarded DSLs" that allow a precedence on DSL operators, which dynamically controls exploration of various paths in the DSL. This makes search efficient over grammars with large fanouts without losing recall. It also makes ranking simpler yet more effective in learning an intended program from very few examples. Both cuts and precedence provide a mechanism to the DSL designer to restrict search to a reasonable, and possibly incomplete, space of programs. Using cuts and gDSLs, we have built FlashFill++, an industrial-strength PBE engine for performing rich string transformations, including datetime and number manipulations. The FlashFill++ gDSL is designed to enable readable code generation in different target languages including Excel's formula language, PowerFx, and Python. We show FlashFill++ is more expressive, more performant, and generates better quality code than comparable existing PBE systems. FlashFill++ is being deployed in several mass-market products ranging from spreadsheet software to notebooks and business intelligence applications, each with millions of users.

Investigating error in saw mark minimum kerf width measurements.

Minimum kerf width (MKW) is often assessed in medicolegal cases of skeletal sharp force trauma and can provide information about the tool used. Previously published saw MKW research focuses on the relationship between MKW and saw blade set width (width of the saw blade including tooth set). Despite these publications using various measurement tools and methods to collect MKW, error in MKW measurements is not well-documented. The goal of this research was to investigate MKW measurement precision in terms of intraobserver error, interobserver error, and the effects of measurement modality (e.g., calipers versus stereo microscope). The study sample consisted of 351 incomplete cuts made with 27 diverse saws. MKW was collected using three methods: (1) inserting the internal caliper jaws into the incomplete kerf, (2) placing the external caliper jaws on the cortical surface, and (3) using a digital stereo microscope and associated measurement software. For each method, intraobserver error and interobserver error were assessed. Differences in measurements taken with the three measurement modalities were assessed for each observer as well. Relative technical error of measurement (rTEM) and coefficients of reliability indicate that internal caliper and stereo microscope measurements had the lowest intra- and interobserver error (rTEM=3.72% to 6.15%; r=0.98-0.996). External caliper measurements performed the worst (rTEM: intra=8.53% and inter=21.32%). There was higher precision between internal caliper and stereo microscope measurements than with the external caliper measurements. This research highlights the need for measurement standardization.

Image Processing Algorithm for In Situ Monitoring Fiber Laser Remote Cutting by a High-Speed Camera.

We present an in situ process monitoring approach for remote fiber laser cutting, which is based on evaluating images from a high-speed camera. A specifically designed image processing algorithm allows the distinction between complete and incomplete cuts by analyzing spectral and geometric information of the melt pool from the captured images of the high-speed camera. The camera-based monitoring system itself is fit to a conventional laser deflection unit for use with high-power fiber lasers, with the optical detection path being coaxially aligned to the incident laser. Without external illumination, the radiation of the melt from the process zone is recorded in the visible spectral range from the top view and spatially and temporally resolved. The melt pool size and emitted sparks are evaluated in dependence of machining parameters such as feed rate, cycles, and focus position during cutting electrical sheets.

Relation of the Sural Nerve and Medial Neurovascular Bundle With the Achilles Tendon in Children With Cerebral Palsy Treated by Percutaneous Achilles Tendon Lengthening.

One of the most common treatment options for a short Achilles tendon (AT) in cerebral palsy is percutaneous AT lengthening using 3 hemisections. Because of proximity of neurovascular structures around the tendon, iatrogenic injury to them have been a concern about this technique. The sural nerve (SN) is under risk of injury at the site of the lateral incomplete cut, especially if it is done proximally. The medial neurovascular bundle is under injury risk at medial cuts. The aim of the article was to study the anatomical relations of the SN and medial neurovascular bundle to the AT, and define dangerous levels for injury with the help of magnetic resonance imaging (MRI). Patients operated for percutaneous Achilles lengthening were called for MRI investigation of the SN and medial neruvascular bundle integrity and their anatomical relation with the AT. The distance of 5 mm was taken as the threshold for increased risk of injury. Measurements were done on MRI at each cm from the insertion of the tendon on both medial and lateral sides, and at the level of the middle cut. Thirty ankles operated and followed at least 1 year were included to the study. On the medial side, the tibial nerve, and the posterior tibial artery lied more than 5 mm away from the tendon at all levels in all patient. On the lateral side, the first 4 cm were relatively safe for the middle lateral cut, while increased risk of SN damage was detected in more proximal levels. Overall, 6 of 30 ankles had radiographically detectable SN injury. The first 4 cm of the AT on the lateral side was detected to be safe for the middle lateral directed cut, while whole tendon length were found to be safe for the first and the third cuts of the percutaneous Achilles lengthening surgery using 3 hemisections in children with cerebral palsy. Level III.

Identifying Handsaw Tooth Shape Based on the Micro- and Macroscopic Analysis of the Kerf Floor Contour

Skeletal trauma analysis is a major facet of forensic anthropology casework and can entail interpretation of sharp force saw trauma. Hand-powered saws are commonly used in cases of dismemberment and analysis requires differentiating class characteristics. Features of the kerf walls and floor provide information utilized in identifying set, shape, size, power, and direction of sawing motion of the tool. The focus of this study is to examine validity and reliability of determining tooth shape class characteristic (rip versus crosscut) from features of the kerf floor. Two crosscut and three rip handsaws, ranging from 6 to 16 teeth per inch, were used to make 30 incomplete cuts per saw for a total of 150 cuts. Each kerf floor was analyzed macroscopically and microscopically using a digital microscope at 30 × magnification by three observers of different experience levels (expert, experienced, and novice). Profile shapes were classified as U-shaped/concave (rip) or W-shaped/convex (crosscut) by each observer for all 150 cuts. Reliability tests using Cohen’s kappa ranged from substantial in the two less experienced observers to almost perfect in pairwise comparisons with the expert. Microscopic classification accuracy was 94.0% (423/450) for all three observers and macroscopic examination increased accuracy to 99.8% (449/450). Saw wear and tooth size were not a significant determiner in correct identification of saw tooth type. Overall, tooth shape can be reliably and accurately determined from incomplete cuts.

Development and evaluation of an image processing algorithm for monitoring fiber laser fusion cutting by a high-speed camera

The authors report on a monitoring system for fiber laser fusion cutting based on a high-speed camera with spectral sensitivity in the visible spectral range. Without external illumination, the monitoring system is applied to a conventional cutting head with the optical detection path being coaxially aligned to the incident laser. It thus allows for the direct, spatially, and temporally resolved detection of the melt pool area in the cut kerf from the top view. The dependencies of the melt pool geometry on laser machining parameters can hence be evaluated. With different laser powers, feed rates, and assist gas pressures, incomplete cuts are forced in mild steel with sheet thicknesses ranging from 1 to 10 mm. The measured signal characteristics of the images captured from the melt pool are examined in the visible spectral range of the emitted, secondary thermal radiation from the process zone. Based on a specifically developed algorithm applied to the captured images, the authors are able to differentiate between complete and incomplete cuts with a distinguished detection probability of 94%.

Investigation on cutting of thin carbon fiber-reinforced polymer composite plate using sandwich electrode-assisted wire electrical-discharge machining

This paper presents the experimental investigation on cutting of thin carbon fiber-reinforced polymer (CFRP) composite plate by wire electrical-discharge machining (WEDM) with the aid of sandwich assisting-electrodes. The difficulties such as incomplete cut and deviation in machining path during WEDM of CFRP were avoided by using metal plates (H13 steel) as assisting-electrodes. The spark initiation during WEDM of CFRP is difficult without exposing the carbon fiber as fibers are embedded into nonconductive polymer in CFRP. Thus, in this work, assisting-electrode was used to initiate the sparking without changing the surface integrity of the CFRP. The one-factor-at-a-time analysis was applied to study the effect of input parameters namely input current (2, 4, 6, 8, 10, and 12 A), pulse on time (10, 20, 30, 40, 50, and 60 µs), pulse off time (10, 20, 30, 40, 50, and 60 µs), and voltage (70 and 90 V) on the cutting time and the machined surface morphology. A decreasing trend was observed for cutting time with an increase in the current. Whereas, the cutting time was increased with an increase in the pulse off time. It was also observed that the cutting time initially increased with the pulse on time (10 to 30 µs) and then started decreasing with a further increase in the pulse on time (40 to 60 µs). The cutting time was significantly reduced at a higher level of voltage (90 V) when compared one-on-one with lower voltage level (70 V). In this study, microscopic analysis of the surface morphology was also extensively investigated which was not investigated earlier. The investigation showed damages such as breakage of carbon fibers, fiber-matrix debonding, and matrix cracking during WEDM of CFRP using sandwich assisting-electrode.

Transition from Stable Laser Fusion Cutting Conditions to Incomplete Cutting Analysed with High-speed X-ray Imaging

Abstract The transition from stable laser cutting conditions to an incomplete cut, which is generally referred to as loss of cut, limits the maximum feed rate of laser beam cutting. In order to investigate this phenomenon, the geometry of the laser cutting front was observed by means of online high-speed X-ray diagnostics. Fusion cutting of 10 mm thick samples of aluminum and stainless steel were recorded with a framerate of 1000 Hz. A quasi three-dimensional geometry of the cutting front and the kerf was reconstructed from the grey scale values of the recorded X-ray images. Comparing cutting of stainless steel and aluminum at stable conditions with the same cutting parameters, it was found that the local angle of incidence in the lower part of the cutting front is smaller and the cutting kerf is wider for stainless steel. During loss of cut, the angle of incidence on the cutting front decreased for both materials and the width of the cutting kerf in the lowest third significantly increased. The reconstructed three-dimensional geometries enable for the first time the determination of the transient changes of the local absorptivity during the loss of cut during laser beam fusion cutting.

Cyanocobalamin and cholecalciferol synergistically improve functional and histopathological nerve healing in experimental rat model.

Peripheral nerve injury (PNI) is a frequent problem among young adults. Hopefully, regeneration can occur in PNI unlike central nervous system. If nerve cut is complete, gold standard treatment is surgery, but incomplete cuts have been tried to be treated by medicines. The aim of the study was to evaluate and compare clinical and histopathological outcomes of independent treatment of each of Vitamin B12 (B12) and Vitamin D3 (D3) and their combination on sciatic nerve injury in an experimental rat model. Experimental animal study was performed after the approval of BEH Ethics Committee No. 2015/10. 32 rats were grouped into four (n=8) according to treatment procedures, such as Group 1 (controls with no treatment), Group 2 (intraperitoneal 1 mg/kg/day B12), Group 3 (oral 3500 IU/kg/week D3), Group 4 (intraperitoneal 1 mg/kg/day B12+ oral 3500 IU/kg/week D3). Sciatic Functional Index (SFI) and histopathological analysis were performed. SFIs of Group 2, 3, 4 were statistically significantly higher than controls. Group 2 and 3 were statistically not different, however Group 4 was statistically significantly higher than others according to SFI. Axonal degeneration (AD) in all treatment groups were statistically significantly lower than in Group 1. AD in Group 4 was significantly lower than in Group 2 and 3; there was no significant difference between Group 2 and 3. There was no significant difference between Group 1,2 and 3 in Axonolysis (A). But A of Group 4 was significantly very much lower than all others. Oedema- inflammation (OE-I) in all treatment groups were significantly lower than in Group 1; there was no significant difference between Group 2 and group 4. OE-I in Group 2 and 4 were significantly lower than in Group 3. There were no significant differences between Group 1, 2 and 3 in damage level scores; score of Group 4 was significantly lower than of Group 1. B12 and D3 were found effective with no statistically significant difference. But combined use of B12 and D3 improve nerve healing synergistically. We recommend combined use of B12 and D3 after PNI as soon as possible.

Femtosecond Laser-Assisted Graft Preparation for Descemet Membrane Endothelial Keratoplasty.

To describe a technique of using a femtosecond laser to assist with graft preparation for Descemet membrane endothelial keratoplasty (DMEK). A femtosecond laser was used to assist in graft preparation for 3 DMEK procedures. The donor cornea is mounted on a proprietary artificial anterior chamber. A partial thickness deep circular cut is made with the femtosecond laser through the endothelium, Descemet membrane, and posterior stroma. Graft preparation is then completed without the use of a corneal trephine. In all cases, graft preparation was successfully completed. Pterygium on a donor cornea resulted in an incomplete cut in 1 case that was finished manually. Subsequent keratoplasties resulted in clear corneas with endothelial cell counts within the expected range. The femtosecond laser may be a useful adjunct in graft preparation for DMEK.

Iatrogenic genitourinary system injury during gynecological and obstetric surgery: ten-year results

Purpose of investigation: The authors’ objective was to investigate the predisposing factors and treatment results of genitourinary (GU) system injuries that occur following gynecological and obstetric surgery (GOS). Materials and Methods: They evaluated retrospectively 87 consecutive patients who had GU tract injury occurring with GOS between 2005 and 2015. Results: There were 87 patients that had GU tract injury, in which 57 had bladder injury, and 30 had ureteral injury. Of the patients who had bladder injury, 38 had only bladder injury and underwent primary repair. Nineteen patients had vesicovaginal fistula and all underwent open transabdominal transvesical repair after three months. Among the 30 ureteral injuries, four were ligation, nine incomplete cut, ten complete cut, and seven fistula. Two patients who had ligation underwent nephrectomy, and two underwent deligation. Nine patients with incomplete cuts underwent primary repair and stenting; end-to-end anastomosis was performed in ten patients with incomplete cuts. Three patients with ureterovaginal fistula underwent ureteroneocystostomy and Boari flaps were performed in four patients. Conclusion: GU system injuries may occur following GOS. When treated early and properly, recovery without complications is possible.

Cross-Correlation-Based Algorithm for Monitoring Laser Cutting With High-Power Fiber Lasers

We report on an innovative algorithm for an InGaAs and Si photodiode-based sensor system to detect incomplete cuts during high-power near infrared fiber laser cutting. Using such dual-photodiode-based sensor, the thermal radiation from the process zone is measured with the diode current being digitalized with a sampling rate of 20 kHz. The algorithm encompasses a normalization of the measured current, digital filtering, and cross-correlation calculation of both filtered diode signals. This sensor approach allows us to successfully detect cut interruptions in a series of more than 100 cuts in stainless steel, mild steel, and aluminum of different thicknesses with a type I and type II error of 0%. The underlying physics of the detection scheme based on the changes of the dynamic melt flow in the cut kerf from a complete cut to an incomplete cut is discussed.

Two-year results of microcatheter-assisted trabeculotomy in paediatric glaucoma: a randomized controlled study.

To compare the outcomes of microcatheter-assisted circumferential trabeculotomy to standard rigid probe trabeculotomy in childhood glaucomas. Eyes of children requiring trabeculotomy for primary congenital or secondary paediatric glaucoma were randomized to undergo either trabeculotomy using the Glaucolight illuminated microcatheter, or a rigid probe trabeculotomy. Complete success was defined as an intraocular pressure (IOP) of <18mmHg without medications. A total of 62 eyes of 62 patients were included. Of these 30 eyes of 30 patients aged 5.6±4.8months underwent microcatheter-assisted trabeculotomy, with 15 eyes (50%) having a complete 360° cut, while 15 eyes (50%) had an incomplete cut ranging from 250 to 350 degrees. The rigid probe trabeculotomy group included 32 eyes of 32 patients aged 4.4±3.8months. At the end of the 2-year follow-up period, the complete success and the failure rates were 67% and 15%, respectively, in the microcatheter-assisted group versus 47% and 50% in the rigid probe trabeculotomy group (p=0.006). There was a tendency towards lower IOP in the microcatheter group at 1, 3, 6, 12 and 24months postoperatively, with the difference in IOP reaching statistical significance at 6months (p=0.004). The mean survival time was significantly longer for the microcatheter group (p=0.01). At 2years postoperatively, microcatheter-assisted trabeculotomy still yielded superior results in terms of IOP control and success rates in children with primary congenital glaucoma. The need for reoperation for glaucoma was significantly lower in the microcatheter group.

Photodiode-based cutting interruption sensor for near-infrared lasers.

We report on a photodiode-based sensor system to detect cutting interruptions during laser cutting with a fiber laser. An InGaAs diode records the thermal radiation from the process zone with a ring mirror and optical filter arrangement mounted between a collimation unit and a cutting head. The photodiode current is digitalized with a sample rate of 20 kHz and filtered with a Chebyshev Type I filter. From the measured signal during the piercing, a threshold value is calculated. When the diode signal exceeds this threshold during cutting, a cutting interruption is indicated. This method is applied to sensor signals from cutting mild steel, stainless steel, and aluminum, as well as different material thicknesses and also laser flame cutting, showing the possibility to detect cutting interruptions in a broad variety of applications. In a series of 83 incomplete cuts, every cutting interruption is successfully detected (alpha error of 0%), while no cutting interruption is reported in 266 complete cuts (beta error of 0%). With this remarkable high detection rate and low error rate, the possibility to work with different materials and thicknesses in combination with the easy mounting of the sensor unit also to existing cutting machines highlight the enormous potential for this sensor system in industrial applications.

Optical Cutting Interruption Sensor for Fiber Lasers

We report on an optical sensor system attached to a 4 kW fiber laser cutting machine to detect cutting interruptions. The sensor records the thermal radiation from the process zone with a modified ring mirror and optical filter arrangement, which is placed between the cutting head and the collimator. The process radiation is sensed by a Si and InGaAs diode combination with the detected signals being digitalized with 20 kHz. To demonstrate the function of the sensor, signals arising during fusion cutting of 1 mm stainless steel and mild steel with and without cutting interruptions are evaluated and typical signatures derived. In the recorded signals the piercing process, the laser switch on and switch off point and waiting period are clearly resolved. To identify the cutting interruption, the signals of both Si and InGaAs diodes are high pass filtered and the signal fluctuation ranges being subsequently calculated. Introducing a correction factor, we identify that only in case of a cutting interruption the fluctuation range of the Si diode exceeds the InGaAs diode. This characteristic signature was successfully used to detect 80 cutting interruptions of 83 incomplete cuts (alpha error 3.6%) and system recorded no cutting interruption from 110 faultless cuts (beta error of 0). This particularly high detection rate in combination with the easy integration of the sensor, highlight its potential for cutting interruption detection in industrial applications.

A Narrow Silicone Sponge to Close a Wider Retinal Tear: The Open-Book Technique of Scleral Buckling

The authors describe a modified technique for scleral buckling by which a wide retinal tear can be closed with a relatively narrow buckle. An incomplete cut on the silicone sponge can be made so that the halves are connected to each other by a narrow strip of material and opened like a book when buckling. Using this open-book technique, silicone sponges can be used to close horseshoe-shaped retinal tears of one to two times the width of available silicone sponges. This technique was used in four eyes with excellent anatomical results, and no complications could be attributed to the surgical technique. This technique provides an alternative treatment strategy for retinal detachment with relatively wide retinal tears.