Scleral Reinforcement Research Articles

Scleral Reinforcement for High Myopia

This paper reviews the scleral reinforcement procedure for high myopia. A discussion of the indications and operative technique is presented with postoperative results and complications in 191 cases performed by one surgeon over the last 14 years. A discussion of the history of scleral reinforcement, modification of technique, and pathogenesis of high myopia is presented.

Update on enucleation and evisceration surgery.

The best operative results with fewest complications after enucleation surgery can be achieved by following basic principles, some of which are those of conservative tissue excision, using spherical implants placed behind Tenon's capsule into the muscle cone and avoiding surgical techniques that overlap the extraocular muscles (especially the superior rectus) over the front of the implant. The presence of an intraocular tumor demands that an enucleation be done. When the possible development of sympathetic ophthalmia is not present, the surgeon should consider doing an evisceration because of the cosmetic and motility advantages. Mention is made of some developments in enucleation surgery, such as the scleral cap reinforcement, the "baseball" implant technique using donor sclera, the use of liquid nitrogen to freeze intraocular tumors before removal of the eye, the dermis-fat orbital graft, and the use of two spherical orbital implants instead of one.

A Simplified Scleral Reinforcement Technique

A simplified scleral reinforcement technique performed on 52 eyes with myopic degeneration prevented further visual loss by strengthening of the sclera over the posterior pole. This scleral homograft was useful not only in older patients with high myopia and posterior staphyloma, but also in younger patients in whom the degenerative process could be stopped at an earlier stage. In all cases in which follow-up was possible, the visual acuity remained at the preoperative level before surgery was performed or it improved.

HOMOGRAFTS OF PRESERVED SCLERA IN RETINAL DETACHMENT SURGERY.

An accidental perforation of necrotic sclera, choroid, and retina with a depressor during a reoperation for retinal detachment, and my frustrations during its repair by the usual methods, led to the use of preserved human scleral homografts for patching similar scleral defects and later extending their indications to less desperate situations. To date, this material has been used in 37 operations on 35 selected eyes. It is the purpose of this paper to report on and to encourage the further selected use of preserved eye-bank sclera for homografts in scleral surgery. Background Various materials have been used for scleral repair and reinforcement. These substances have met with varying degrees of success, and most are well known: cartilage, conjunctiva, mucous membrane, fascia lata, synthetic materials, and sclera. The homotransplantation of human sclera is a fairly recent innovation, and although it has not had general acceptance nor widespread use, the donor material

Scleral Reinforcement with Aortic Tissue

Scleral Reinforcement with Aortic Tissue

Surgical Treatment of Degenerative Myopia : Scleral Reinforcement

Surgical Treatment of Degenerative Myopia : Scleral Reinforcement