A complication of scleral expansion surgery for treatment of presbyopia

Gurpreet Singh, Steven Chalfin

Research output: Contribution to journalArticle

12 Citations (Scopus)

Abstract

PURPOSE: To report a patient who developed complications from an experimental technique using scleral expansion to treat presbyopia. METHODS: Case report of a 46-year-old woman who underwent scleral expansion surgery on her right eye. Postoperatively, the patient developed chronic pain and swelling that necessitated removal of the scleral expanders. RESULTS: After removal of the scleral expanders, the patient demonstrated a -1.4 diopter myopic shift in the right eye relative to her preoperative refraction. Axial length of the right eye was 1.15 mm longer than of the left, whereas preoperative axial lengths were equal. CONCLUSION: This patient developed scleral thinning with resultant axial lengthening and myopic shift, akin to the phenomenon observed with scleral buckles used to treat retinal detachments. We believe this was responsible for improved near vision in her right eye, rather than any increased accommodative potential purported to result from this operation. (C) 2000 by Elsevier Science Inc.

Original languageEnglish (US)
Pages (from-to)521-523
Number of pages3
JournalAmerican Journal of Ophthalmology
Volume130
Issue number4
DOIs
StatePublished - Oct 2000

Fingerprint

Presbyopia
Eye Axial Length
Retinal Detachment
Therapeutics
Chronic Pain

ASJC Scopus subject areas

  • Ophthalmology

Cite this

A complication of scleral expansion surgery for treatment of presbyopia. / Singh, Gurpreet; Chalfin, Steven.

In: American Journal of Ophthalmology, Vol. 130, No. 4, 10.2000, p. 521-523.

Research output: Contribution to journalArticle

Singh, Gurpreet ; Chalfin, Steven. / A complication of scleral expansion surgery for treatment of presbyopia. In: American Journal of Ophthalmology. 2000 ; Vol. 130, No. 4. pp. 521-523.
@article{57b646f1a794423cbd1a9876274c371c,
title = "A complication of scleral expansion surgery for treatment of presbyopia",
abstract = "PURPOSE: To report a patient who developed complications from an experimental technique using scleral expansion to treat presbyopia. METHODS: Case report of a 46-year-old woman who underwent scleral expansion surgery on her right eye. Postoperatively, the patient developed chronic pain and swelling that necessitated removal of the scleral expanders. RESULTS: After removal of the scleral expanders, the patient demonstrated a -1.4 diopter myopic shift in the right eye relative to her preoperative refraction. Axial length of the right eye was 1.15 mm longer than of the left, whereas preoperative axial lengths were equal. CONCLUSION: This patient developed scleral thinning with resultant axial lengthening and myopic shift, akin to the phenomenon observed with scleral buckles used to treat retinal detachments. We believe this was responsible for improved near vision in her right eye, rather than any increased accommodative potential purported to result from this operation. (C) 2000 by Elsevier Science Inc.",
author = "Gurpreet Singh and Steven Chalfin",
year = "2000",
month = "10",
doi = "10.1016/S0002-9394(00)00583-3",
language = "English (US)",
volume = "130",
pages = "521--523",
journal = "American Journal of Ophthalmology",
issn = "0002-9394",
publisher = "Elsevier USA",
number = "4",

}

TY - JOUR

T1 - A complication of scleral expansion surgery for treatment of presbyopia

AU - Singh, Gurpreet

AU - Chalfin, Steven

PY - 2000/10

Y1 - 2000/10

N2 - PURPOSE: To report a patient who developed complications from an experimental technique using scleral expansion to treat presbyopia. METHODS: Case report of a 46-year-old woman who underwent scleral expansion surgery on her right eye. Postoperatively, the patient developed chronic pain and swelling that necessitated removal of the scleral expanders. RESULTS: After removal of the scleral expanders, the patient demonstrated a -1.4 diopter myopic shift in the right eye relative to her preoperative refraction. Axial length of the right eye was 1.15 mm longer than of the left, whereas preoperative axial lengths were equal. CONCLUSION: This patient developed scleral thinning with resultant axial lengthening and myopic shift, akin to the phenomenon observed with scleral buckles used to treat retinal detachments. We believe this was responsible for improved near vision in her right eye, rather than any increased accommodative potential purported to result from this operation. (C) 2000 by Elsevier Science Inc.

AB - PURPOSE: To report a patient who developed complications from an experimental technique using scleral expansion to treat presbyopia. METHODS: Case report of a 46-year-old woman who underwent scleral expansion surgery on her right eye. Postoperatively, the patient developed chronic pain and swelling that necessitated removal of the scleral expanders. RESULTS: After removal of the scleral expanders, the patient demonstrated a -1.4 diopter myopic shift in the right eye relative to her preoperative refraction. Axial length of the right eye was 1.15 mm longer than of the left, whereas preoperative axial lengths were equal. CONCLUSION: This patient developed scleral thinning with resultant axial lengthening and myopic shift, akin to the phenomenon observed with scleral buckles used to treat retinal detachments. We believe this was responsible for improved near vision in her right eye, rather than any increased accommodative potential purported to result from this operation. (C) 2000 by Elsevier Science Inc.

UR - http://www.scopus.com/inward/record.url?scp=0033798389&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=0033798389&partnerID=8YFLogxK

U2 - 10.1016/S0002-9394(00)00583-3

DO - 10.1016/S0002-9394(00)00583-3

M3 - Article

C2 - 11024428

AN - SCOPUS:0033798389

VL - 130

SP - 521

EP - 523

JO - American Journal of Ophthalmology

JF - American Journal of Ophthalmology

SN - 0002-9394

IS - 4

ER -