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Hernia of the Choroid treated by Scleral Grafting followed by Direct Suturing of the Sclera

1954; BMJ; Volume: 38; Issue: 2 Linguagem: Inglês

10.1136/bjo.38.2.126

1468-2079

P. Sivasubramaniam, Thabitha Jebaseeli Hoole,

Corneal Surgery and Treatments

Case Report A young man aged 18 had had a bluish-black lump on the " white " of the left eye for 8 years.He did not recall any injury to this eye and had had no inflammation.Examination.-Abluish-black sessile swelling was seen on the superonasal side of the left eyeball about 4 mm.from the limbus (Figure).The lump measured 6 x 4 mm., the long axis being more or less tangential to the limbus.The swelling was cystic, tense, slightly reducible, nonpulsatile, and non-transluminant.It was not movable over the globe, the conjunctiva over it was stretched and tenuous.Biomicroscopy revealed a deposit of fine iris pigment on the lens capsule at the lower part.There was no sign of active uveitis.Visual acuity was 6/6 in each eye.Digital tonometry indicated that the tension was equal in both eyes.The fundi were normal.The region of the ectasia was not accessible ophthalmoscopically.Wassermann reaction negative.Operations.-Scleral grafting and direct suturing of the scleral hiatus were performed at different times.The reports of Lister (1951) on scleral grafting prompted us to try the superonasal margin of the scleral hiatus