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Purpose: To describe an extensive scleral excision technique to treat or prevent uveal effusion in nanophthalmic eyes.
Design: Prospective interventional case series.
Methods:
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 ¼ quadrants, excluding 3/4 of the superior temporal quadrant to avoid damaging the superior oblique muscle.
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| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| sclerectomy | Procedure | scleral flap |
|
| Measure | Description | Time Frame |
|---|---|---|
| resolution of uveal effusion | disappearence of uveal effusion by OCT | 1 month |
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Inclusion Criteria: nanophthalmos -
Exclusion Criteria: None
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| Name | Affiliation | Role |
|---|---|---|
| Ahmad Mansour, MD | Rafic Hariri University Hospital | Study Chair |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Rafic Hariri University Hospital | Beirut | South Beirut | 1136044 | Lebanon |
| PubMed Identifier | Type | Citation | Retractions |
|---|---|---|---|
| 29862063 | Result | Carricondo PC, Andrade T, Prasov L, Ayres BM, Moroi SE. Nanophthalmos: A Review of the Clinical Spectrum and Genetics. J Ophthalmol. 2018 May 9;2018:2735465. doi: 10.1155/2018/2735465. eCollection 2018. | |
| 30877130 | Derived | Mansour A, Stewart MW, Shields CL, Hamam R, Abdul Fattah M, Sheheitli H, Mehanna CJ, Yassine S, Chahine H, Keaik M, Maalouf F, Jaroudi M. Extensive circumferential partial-thickness sclerectomy in eyes with extreme nanophthalmos and spontaneous uveal effusion. Br J Ophthalmol. 2019 Dec;103(12):1862-1867. doi: 10.1136/bjophthalmol-2018-313702. Epub 2019 Mar 15. |
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if part of collaboration, we will share the data
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| ID | Term |
|---|---|
| D008850 | Microphthalmos |
| ID | Term |
|---|---|
| D005124 | Eye Abnormalities |
| D005128 | Eye Diseases |
| D000013 | Congenital Abnormalities |
| D009358 | Congenital, Hereditary, and Neonatal Diseases and Abnormalities |
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surgery
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