Pruett R C
Arch Ophthalmol. 1977 Oct;95(10):1782-7. doi: 10.1001/archopht.1977.04450100084007.
Radial retinal folding, associated with equatorial scleral buckling, contributes to the difficulty in repairing a retinal detachment due to a fishmouth break. To minimize this effect, a wedge-shaped implant was designed to approximate more closely the same relative reduction in the circumference of the circles of the globe along the meridian of the break. The surgical details of use of the implant are described. In a consecutive series of 56 eyes in which the fishmouth phenomenon was expected, 49 (88%) were successfully managed at first encounter using a wedge buckling device. Revised scleral bucklings and open-sky vitrectomies, in early failures and delayed recurrences, salvaged additional eyes for final success in 52 (93%) of the eyes.
与赤道部巩膜扣带相关的视网膜径向折叠，导致因鱼口状裂孔而修复视网膜脱离存在困难。为将这种影响降至最低，设计了一种楔形植入物，以更接近地模拟眼球沿裂孔子午线的圆周相对缩小情况。文中描述了该植入物的手术使用细节。在一系列连续的56只预计会出现鱼口现象的眼中，49只（88%）初次使用楔形扣带装置即成功治疗。对于早期失败和延迟复发的病例，通过改良巩膜扣带术和开放式玻璃体切除术，使另外一些眼最终成功治愈，52只（93%）眼获得最终成功。
