The 'fishmouth phenomenon' seen in some previously treated retinal detachments is associated with large horeshoe tears and scleral buckling techniques. A method of treating patients with this complication is described in which scleral buckling with implant or explant is not used. The technique utilises intravitreal air tamponade with cryopexy and gives good results. The incidence of patients de...

PURPOSE Subjective and objective evaluation of scleral lens tolerance and fitting before and after corneal cross-linking (CXL) for progressive keratoconus. METHODS In this prospective cohort, evaluations were made of 18 unilateral eyes in patients who underwent CXL and had been wearing scleral lenses before the procedure. All the patients gave informed consent; they were able to cooperate wit...

Sixty cases of traumatic hyphaema due to non-perforating injury were admitted during a 3-year period ending in June, I971. Eight patients were not available for out-patient observation and this study deals with the remaining 52 cases. The majority of patients were admitted to hospital and confined to bed except for toilet facilities. All were examined by indirect ophthalmoscopy whilst in the wa...

The sclera is the tough outer covering of the eye that provides structural support and helps maintain intraocular pressure. In some fishes, reptiles, and birds, the sclera is reinforced with an additional ring of hyaline cartilage or bone that forms from scleral ossicles. Currently, the evolutionary and genetic basis of scleral ossification is poorly understood, especially in teleost fishes. We...

By Gaurav K. Shah, MD; and Baseer Ahmad, MD Is scleral buckling surgery for retinal detachment (RD) repair here to stay? We believe the answer is “yes,” but only if ophthalmologists continue to perform and teach these procedures. If we do not, scleral buckling procedures will pass into history. There is no doubt that pars plana vitrectomy (PPV) is an effective procedure, valued day in and day o...

BACKGROUND/AIMS Macular translocation with scleral imbrication is a new technique for treating subfoveal choroidal neovascular membranes (CNV). This procedure shortens the sclera but may result in a minimal decrease in the internal circumference of the globe and limits the amount of foveal displacement. The authors propose a new scleral retraction suture aimed at decreasing the internal circumf...

Fundus photography in adults and cooperative children is possible with a fundus camera or by using a slit lamp-mounted digital camera. Retcam TM or a video indirect ophthalmoscope is necessary for fundus imaging in infants and young children under anesthesia. Herein, a technique of converting and using a digital video camera into a video indirect ophthalmoscope for fundus imaging is described. ...

PURPOSE The authors report a case of fungal scleral keratitis and endophthalmitis as a complication of pterygium surgery. METHODS Case presentation. RESULTS A 46-year old woman underwent pterygium excision with topical use of intraoperative mitomycin C. By day 21 after excision, scleral melting was followed by fungal keratitis. Endophthalmitis ensued, which rapidly progressed, despite surgi...

PURPOSE To evaluate the usefulness of scleral pneumatonometry as an alternative for corneal measurements of intraocular pressure (IOP) over a broad range of IOPs. DESIGN Prospective, observational cohort study. PARTICIPANTS The study was conducted in the University of California, San Francisco, Retina Clinic between August and November 2013 in 33 adult patients (age range, 34-94 years; mean...

purpose : to assess the efficacy and safety of sutureless punch trabeculectomy as substitute for conventional scleral flap trabeculectomy. methods : in a prospective, randomized study, 44 eyes of 42 patients with primary open angle glaucoma (poag) who were candidate of trabeculectomy were included and randomly assigned into two groups sutureless punch trabeculectomy or conventional scleral flap...