Extensive Circumferential Partial Thickness Sclerectomy in Nanophthalmic Eyes
Study Details
Study Description
Brief Summary
Purpose: To describe an extensive scleral excision technique to treat or prevent uveal effusion in nanophthalmic eyes.
Design: Prospective interventional case series.
Methods:
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Setting: Institutional.
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Patient Population: Consecutive patients with nanophthalmos were operated on by one surgeon.
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Intervention Procedure: A single, 90% thickness scleral window extending from immediately behind the extraocular muscle insertions to the vortex veins was performed for 3 and 1/4 quadrants as a circumferential strip.
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Main Outcome Measure: Resolution or prevention of uveal effusion.
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Surgical Technique All surgeries were performed under general anesthesia by one surgeon (AMM). Because the majority of the patients were young with narrow palpebral fissures and very deep set globes in small orbits, special surgical techniques were required. Lateral canthotomy was performed on all patients except for the first. Limbal 360o conjunctival peritomy was followed by securing of each rectus muscles with a modified muscle hook and 2-0 silk suture. Scleral dissection was performed from immediately behind to the muscle insertions posterior to the vortex veins. A 90% depth scleral window was excised over 3 and ΒΌ quadrants, excluding 3/4 of the superior temporal quadrant to avoid damaging the superior oblique muscle.
Study Design
Outcome Measures
Primary Outcome Measures
- resolution of uveal effusion [1 month]
disappearence of uveal effusion by OCT
Eligibility Criteria
Criteria
Inclusion Criteria: nanophthalmos -
Exclusion Criteria: None
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Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
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1 | Rafic Hariri University Hospital | Beirut | South Beirut | Lebanon | 1136044 |
Sponsors and Collaborators
- Rafic Hariri University Hospital
Investigators
- Study Chair: Ahmad Mansour, MD, Rafic Hariri University Hospital
Study Documents (Full-Text)
None provided.More Information
Publications
None provided.- RaficHaririUHAMM