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Half-Thickness Sponges for Retinal Detachment Surgery

Half-Thickness Sponges for Retinal Detachment Surgery Abstract To the Editor. —Two half-thickness scleral sponges have been developed recently for retinal detachment surgery and may offer advantages over the full-thickness sponges currently in use. A 5.0 × 2.5-mm cylindrical half-sponge and a 7.5 × 2.75-mm oval half-sponge (Figure) have been designed with all surfaces covered with the closed-cell Silastic (silicone) scleral sponge process.1For the past five to ten years, my colleagues and I, as well as other retinal detachment surgeons, have manually cut full-thickness sponges in half lengthwise to use for both radial and circumferential buckles in the management of selected retinal detachments.2,3 Surgical technique involves placing scleral sutures the same distance apart as with a full-thickness sponge, achieving the same internal buckle height but offering the distinct advantage of having no external bulk as one would experience with a fullthickness sponge. This technique may help to lessen or eliminate postoperative motility problems and may References 1. Bartley GB, Buettner H, Campbell RJ: Scanning electron microscopic study of Silastic scleral sponges . Retina 1985;5:42-46.Crossref 2. Fitzgerald CR: Combined vitrectomy/scleral buckling procedure in a case of trauma , in Okun E, Johnston GP (eds): Proceedings of the Paul Cibis Club . St Louis, The Paul Cibis Club, 1979, pp 67-73. 3. Boldrey EE: Variation of technique of episcleral sponge placement: Effect on scleral indentation for retinal detachment repair . Ann Ophthalmol 1981;13:743-746. 4. Olk RJ, Arribas NP, Schertzer M, et al: Preoperative antibiotic soaking of silicone sponges: Does it make a difference? Ophthalmology 1984;91:1684-1689.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Half-Thickness Sponges for Retinal Detachment Surgery

Archives of Ophthalmology , Volume 105 (6) – Jun 1, 1987

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References (4)

Publisher
American Medical Association
Copyright
Copyright © 1987 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1987.01060060023013
Publisher site
See Article on Publisher Site

Abstract

Abstract To the Editor. —Two half-thickness scleral sponges have been developed recently for retinal detachment surgery and may offer advantages over the full-thickness sponges currently in use. A 5.0 × 2.5-mm cylindrical half-sponge and a 7.5 × 2.75-mm oval half-sponge (Figure) have been designed with all surfaces covered with the closed-cell Silastic (silicone) scleral sponge process.1For the past five to ten years, my colleagues and I, as well as other retinal detachment surgeons, have manually cut full-thickness sponges in half lengthwise to use for both radial and circumferential buckles in the management of selected retinal detachments.2,3 Surgical technique involves placing scleral sutures the same distance apart as with a full-thickness sponge, achieving the same internal buckle height but offering the distinct advantage of having no external bulk as one would experience with a fullthickness sponge. This technique may help to lessen or eliminate postoperative motility problems and may References 1. Bartley GB, Buettner H, Campbell RJ: Scanning electron microscopic study of Silastic scleral sponges . Retina 1985;5:42-46.Crossref 2. Fitzgerald CR: Combined vitrectomy/scleral buckling procedure in a case of trauma , in Okun E, Johnston GP (eds): Proceedings of the Paul Cibis Club . St Louis, The Paul Cibis Club, 1979, pp 67-73. 3. Boldrey EE: Variation of technique of episcleral sponge placement: Effect on scleral indentation for retinal detachment repair . Ann Ophthalmol 1981;13:743-746. 4. Olk RJ, Arribas NP, Schertzer M, et al: Preoperative antibiotic soaking of silicone sponges: Does it make a difference? Ophthalmology 1984;91:1684-1689.Crossref

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1987

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