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| scleraSummarySummary: The white, opaque, fibrous, outer tunic of the eyeball, covering it entirely excepting the segment covered anteriorly by the cornea. It is essentially avascular but contains apertures for vessels, lymphatics, and nerves. It receives the tendons of insertion of the extraocular muscles and at the corneoscleral junction contains the canal of Schlemm. (From Cline et al., Dictionary of Visual Science, 4th ed) Top Publications
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Publications
Do scleral flap dimensions influence reliability of intraocular pressure control in experimental trabeculectomy?W Birchall
Wellington Hospital, Wellington, New Zealand
Eye (Lond) 21:402-7. 2007..To compare the effect on intraocular pressure (IOP) of large vs small scleral flap size during trabeculectomy using adjustable sutures...
Central corneal thickness is not related to anterior scleral thickness or axial lengthCristiano Oliveira
Department of Ophthalmology, New York Eye and Ear Infirmary, New York, NY, USA
J Glaucoma 15:190-4. 2006..This study does not support the hypothesis that a thin CCT is a surrogate marker for abnormal scleral or laminar thickness as an independent cause of increased glaucoma risk...
The trabecular meshwork outflow pathways: structural and functional aspectsErnst R Tamm
Institute of Human Anatomy and Embryology, University of Regensburg, Regensburg, Germany
Exp Eye Res 88:648-55. 2009..The scleral spur contains axons that innervate scleral spur cells or that have the ultrastructural characteristics of mechanosensory nerve endings...
Regulation of the mechanical properties of tree shrew sclera by the visual environmentJ T Siegwart
Department of Physiological Optics, University of Alabama at Birmingham 35294 4390, USA
Vision Res 39:387-407. 1999..studies in tree shrews (Tupaia glis belangeri) suggest that regulation of the mechanical properties of the sclera may be an important part of the mechanism that controls the axial elongation rate in this mammal...
Expression of collagen-binding integrin receptors in the mammalian sclera and their regulation during the development of myopiaNeville A McBrien
Department of Optometry and Vision Sciences, The University of Melbourne, Melbourne, Australia 3010
Invest Ophthalmol Vis Sci 47:4674-82. 2006The sclera has a collagen-rich extracellular matrix that undergoes significant biochemical and biomechanical remodeling during myopic eye growth...
Inhibition of human scleral fibroblast cell attachment to collagen type I by TGFBIpLilian Shelton
Department of Cell Biology, University of Oklahoma Health Science Center, Oklahoma City, OK 73104, USA
Invest Ophthalmol Vis Sci 50:3542-52. 2009..The sclera synthesizes and secretes TGFBIp, which may function to facilitate scleral ECM remodeling events associated with ..
High-resolution two-photon excitation microscopy of ocular tissues in porcine eyeBao Gui Wang
Lasermicroscopy Research Unit, Institute of Microscopic Anatomy Anatomy II, Medical Faculty, Friedrich Schiller University Jena, Teichgraben 7, 07743 Jena, Germany
Lasers Surg Med 40:247-56. 2008....
Structural and functional outcome of scleral patch graftV S Sangwan
LV Prasad Eye Institute, Banjara Hills, Hyderabad, Andhra Pradesh, India
Eye (Lond) 21:930-5. 2007..To evaluate the visual and structural outcomes of scleral patch grafting in cases of scleral defect...
Modulation of glycosaminoglycan levels in tree shrew sclera during lens-induced myopia development and recoveryAnisha G Moring
Department of Psychology, University of Alabama at Birmingham, Birmingham, Alabama 35294, USA
Invest Ophthalmol Vis Sci 48:2947-56. 2007..During negative lens compensation, the scleral extracellular matrix is remodeled. A biomechanical property of the sclera, creep rate, increases; during recovery from induced myopia, the creep rate decreases below normal levels...
Surgical management of scleral defectsAltan A Ozcan
Department of Ophthalmology, Cukurova University, Faculty of Medicine, Adana, Turkey
Cornea 24:308-11. 2005To evaluate the results of surgical management of scleral defects using fascia lata, cornea, and sclera as graft materials.
Induced myopia associated with increased scleral creep in chick and tree shrew eyesJ R Phillips
Department of Optometry and Vision Science, University of Auckland, New Zealand
Invest Ophthalmol Vis Sci 41:2028-34. 2000..To investigate the role of scleral creep in the axial elongation of chick and tree shrew eyes with induced myopia...
A new insight into the cellular regulation of aqueous outflow: how trabecular meshwork endothelial cells drive a mechanism that regulates the permeability of Schlemm's canal endothelial cellsJ A Alvarado
University of California San Francisco, Department of Ophthalmology 10 Koret Way San Francisco, CA 94143 0730, USA
Br J Ophthalmol 89:1500-5. 2005..To test the hypothesis that trabecular meshwork endothelial cells (TMEs) increase the permeability of Schlemm's canal endothelial cells (SCEs) by actively releasing ligands that modulate the barrier properties of SCEs...
Factors influencing optic nerve head biomechanicsIan A Sigal
Department of Mechanical and Industrial Engineering, University of Toronto, Ontario, Canada
Invest Ophthalmol Vis Sci 46:4189-99. 2005..input factors that had the largest influence across all outcome measures were, in ranked order: stiffness of the sclera, radius of the eye, stiffness of the lamina cribrosa, IOP, and thickness of the scleral shell...
Multimodal nonlinear imaging of the human corneaFlorent Aptel
Laboratoire d Optique Appliquée, ENSTA ParisTech, Ecole Polytechnique, Palaiseau, France
Invest Ophthalmol Vis Sci 51:2459-65. 2010....
Opposite effects of glucagon and insulin on compensation for spectacle lenses in chicksXiaoying Zhu
Department of Biology, City College, CUNY, New York, New York 10031, USA
Invest Ophthalmol Vis Sci 50:24-36. 2009..Glucagon may signal the sign of defocus. Do insulin (or IGF-1) and glucagon act oppositely in controlling eye growth, as they do in metabolic pathways and in control of retinal neurogenesis?..
Scleral thickness following fluocinolone acetonide implant (Retisert)Mehran Taban
Cole Eye Institute, Cleveland Clinic, Cleveland, Ohio 44195, USA
Ocul Immunol Inflamm 18:305-13. 2010..To evaluate whether intravitreal fluocinolone acetonide (FA) implantation (Retisert) leads to scleral thinning...
A new technique for suture fixation of posterior chamber intraocular lenses that eliminates intraocular knotsRuben Grigorian
Institute of Ophthalmology and Visual Science, New Jersey Medical School, 90 Bergen Street, Newark, NJ 10703-2499, USA
Ophthalmology 110:1349-56. 2003..CONCLUSION: This technique eliminates intraocular knots, minimizes operating time with an open globe, and provides excellent lens centration in the absence of capsular support...
Central corneal thickness, lamina cribrosa and peripapillary scleral histomorphometry in non-glaucomatous Chinese eyesRuojin Ren
Beijing Institute of Ophthalmology, Beijing Tongren Eye Center, Beijing Tongren Hospital, Capital Medical University, 100005, Beiing, China
Graefes Arch Clin Exp Ophthalmol 248:1579-85. 2010To examine a potential correlation between a thin cornea, a thin lamina cribrosa and a thin peripapillary sclera in normal eyes of Chinese, as surrogate for a presumed association between a thin cornea and an increased glaucoma ..
Correlation between corneal and scleral thickness in glaucomaJelinar Mohamed-Noor
Department of Ophthalmology, Aberdeen Royal Infirmary and University of Aberdeen, Aberdeen, UK
J Glaucoma 18:32-6. 2009..To assess the correlation between central corneal thickness (CCT) and anterior scleral thickness (ST) in patients of primary open-angle glaucoma (POAG), normal tension glaucoma (NTG), and ocular hypertension (OHT)...
Measurement of scleral thickness in uveal effusion syndromeAndrew Lam
Retina Service, Wills Eye Hospital, Thomas Jefferson University, Philadelphia, Pennsylvania 19107, USA
Am J Ophthalmol 140:329-31. 2005..To measure scleral thickness in patients with and without uveal effusion syndrome using ultrasound biomicroscopy (UBM) and magnetic resonance imaging (MRI)...
Long-term results after bare sclera pterygium resection with excimer smoothing and local application of mitomycin CTony Walkow
Department of Ophthalmology, Centro Klinik, Oberhausen, Germany
Cornea 24:378-81. 2005PURPOSE: To evaluate the long-term results and complications after bare sclera pterygium excision with local application of mitomycin C and consecutive smoothing of the wound area with an excimer laser (PTK)...
Central corneal thickness and anterior scleral thickness in Korean patients With Open-angle glaucoma: an anterior segment optical coherence tomography studyChungkwon Yoo
Department of Ophthalmology, Korea University College of Medicine, Seoul, Korea
J Glaucoma 20:95-9. 2011..To assess the correlation between central corneal thickness (CCT) and anterior scleral thickness (AST) in Korean patients with normal tension glaucoma (NTG) and primary open angle glaucoma (POAG)...
10-year follow-up study of secondary transscleral ciliary sulcus fixated posterior chamber intraocular lensesTatsuya Mimura
Department of Ophthalmology, University of Tokyo School of Medicine, Tokyo, Japan
Am J Ophthalmol 136:931-3. 2003..To study the outcome of transscleral ciliary sulcus fixated posterior chamber intraocular lenses (transscleral fixation of PC IOLs) at 10 years after surgery...
Scleral biomechanics in the aging monkey eyeMichaël J A Girard
Ocular Biomechanics Laboratory, Devers Eye Institute, Portland, Oregon 97232, USA
Invest Ophthalmol Vis Sci 50:5226-37. 2009To investigate the age-related differences in the inhomogeneous, anisotropic, nonlinear biomechanical properties of posterior sclera from old (22.9 +/- 5.3 years) and young (1.5 +/- 0.7 years) rhesus monkeys.
Peripapillary and posterior scleral mechanics--part II: experimental and inverse finite element characterizationMichaël J A Girard
Department of Biomedical Engineering, Tulane University, 6823 St Charles Avenue, New Orleans, LA 70118, USA
J Biomech Eng 131:051012. 2009The posterior sclera likely plays an important role in the development of glaucoma, and accurate characterization of its mechanical properties is needed to understand its impact on the more delicate optic nerve head--the primary site of ..
Scheimpflug imaging of bilateral foldable in-the-bag intraocular lens implantation assisted by a scleral-sutured capsular tension ring in Marfan's syndromeThomas Kohnen
Johann Wolfgang Goethe University, Department of Ophthalmology, Frankfurt am Main, Germany
J Cataract Refract Surg 29:598-602. 2003..High myopia and subluxated lenses may be treatable long-term with a scleral-fixated CTR and foldable IOL implantation; further evaluation of PCO is necessary...
3-D histomorphometry of the normal and early glaucomatous monkey optic nerve head: lamina cribrosa and peripapillary scleral position and thicknessHongli Yang
Department of Biomedical Engineering, Tulane University, New Orleans, Louisiana, USA
Invest Ophthalmol Vis Sci 48:4597-607. 2007..three-dimensionally the anterior and posterior surfaces of the lamina cribrosa, scleral flange, and peripapillary sclera, to determine the position and thickness of these structures within digital three-dimensional (3-D) ..
Intraocular lens implantation in the absence of capsular support: a report by the American Academy of OphthalmologyMichael D Wagoner
Ophthalmology 110:840-59. 2003..Precise determination of small differences in visual outcome or complication rates will require a large prospective, randomized clinical trial...
Peripapillary and posterior scleral mechanics--part I: development of an anisotropic hyperelastic constitutive modelMichaël J A Girard
Department of Biomedical Engineering, Tulane University, 6823 St Charles Avenue, New Orleans, LA 70118, USA
J Biomech Eng 131:051011. 2009The sclera is the white outer shell and principal load-bearing tissue of the eye as it sustains the intraocular pressure...
Ultrasound biomicroscopy comparison of ab interno and ab externo scleral fixation of posterior chamber intraocular lensesAhmed M Kamal
Department of Ophthalmology, Cairo University, Cairo, Egypt
J Cataract Refract Surg 35:881-4. 2009..To compare ab interno and ab externo scleral fixation of posterior chamber intraocular lenses (PC IOLs) using ultrasound biomicroscopy (UBM) to determine the centration of IOL optic and the position of the haptics in relation to the sulcus...
Tilt and decentration after primary and secondary transsclerally sutured posterior chamber intraocular lens implantationA Durak
, Department of Ophthalmology, I;-1qzmir, Turkey
J Cataract Refract Surg 27:227-32. 2001..834, P =.659). CONCLUSIONS: Clinically significant IOL tilt or decentration was rare after transscleral implantation. There were no differences in tilt or decentration between primary and secondary implantation...
Scleral contact lenses may help where other modalities failOri Segal
Department of Opthalmology, Assaf Harofeh Medical Center, Zerifin, Israel
Cornea 22:308-10. 2003..To describe the vision-correcting and therapeutic benefits of gas-permeable scleral contact lenses (GP-ScCL) in the management of irregular corneal surface disorders and ocular surface diseases...
Regional variation in the biomechanical properties of the human scleraAhmed Elsheikh
Division of Civil Engineering, University of Dundee, Nethergate, Dundee, Tayside DD1 4HN, UK
Exp Eye Res 90:624-33. 2010..to determine the variation in thickness and biomechanical properties between the different regions of the human sclera. Thickness measurements were carried out along eight meridian lines extending from the posterior pole to limbus in ..
Temporal properties of compensation for positive and negative spectacle lenses in chicksXiaoying Zhu
Department of Biology, The City College of the City University of New York, New York 10031, USA
Invest Ophthalmol Vis Sci 50:37-46. 2009..The time constants of these signals were measured indirectly by measuring the magnitude of lens compensation in refractive error and ocular dimensions as a function of the duration of episodes and the intervals between the episodes...
Bone morphogenetic protein-2: a potential regulator in scleral remodelingJianmin Hu
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat Sen University, Guangzhou, P R China
Mol Vis 14:2373-80. 2008..We examined BMP-2 expression in human scleral fibroblasts (HSF) and assessed the effects of recombinant human BMP-2 (rhBMP-2) on HSF proliferation, matrix metalloproteinase-2 (MMP-2), and tissue inhibitor of metalloproteinase-2 (TIMP-2)...
Repair of scleromalacia using preserved scleral graft with amniotic membrane transplantationJung Hwan Oh
Department of Ophthalmology, Chung-Ang University Hospital, Seoul, Korea
Cornea 22:288-93. 2003..METHODS: A prospective study of eight eyes (eight patients) was performed. We grafted glycerin-preserved sclera onto the areas of scleral thinning with impending perforation and then covered them with an amniotic membrane with ..
Clinical and anatomical reversal of long-term hypotony maculopathyJohn O Oyakhire
Department of Ophthalmology and Visual Science, University of Michigan, Ann Arbor, MI 48105, USA
Am J Ophthalmol 137:953-5. 2004..The retinal thickness decreased from 423 microm to 211 microm based on ocular coherence tomography. CONCLUSIONS: This case demonstrates that long-term hypotony maculopathy is reversible both functionally and structurally...
Finite element modeling of the human sclera: influence on optic nerve head biomechanics and connections with glaucomaRichard E Norman
Mechanical and Industrial Engineering, University of Toronto, 5 King s College Rd, Toronto, Ontario M5S 3G8, Canada
Exp Eye Res 93:4-12. 2011..Large differences in the dimensions of the sclera, the principal load-bearing tissue of the eye, have been observed between individuals...
Erbium:YAG laser deep sclerectomy: an alternative approach to glaucoma surgeryIoannis G Pallikaris
Department of Ophthalmology, Division of Medicine, School of Health Sciences, University of Crete, Crete, Greece
Ophthalmic Surg Lasers Imaging 34:375-80. 2003..Further studies and longer follow-up are necessary for the evaluation of the efficacy of this technique...
Lamina cribrosa and peripapillary sclera histomorphometry in normal and advanced glaucomatous Chinese eyes with various axial lengthRuojin Ren
Beijing Institute of Ophthalmology, Beijing TongRen Hospital Eye Center, Capital Medical University, Beijing, China
Invest Ophthalmol Vis Sci 50:2175-84. 2009..To measure laminar and peripapillary scleral architecture in normal and glaucomatous Chinese eyes with normal and those with elongated axial length...
Expression of muscarinic receptors in human and mouse sclera and their role in the regulation of scleral fibroblasts proliferationV A Barathi
Singapore Eye Research Institute, Singapore
Mol Vis 15:1277-93. 2009....
Conjunctival oculosporidiosis with scleral thinning and staphyloma formationSheeja Susan John
The Department of Ophthalmology, Medical College, Kottayam, Kerala, India
Indian J Ophthalmol 53:272-4. 2005
Viscoelastic material properties of the peripapillary sclera in normal and early-glaucoma monkey eyesJ Crawford Downs
LSU Eye Center, Louisiana State University Health Sciences Center, New Orleans, LA 70112, USA
Invest Ophthalmol Vis Sci 46:540-6. 2005To test the hypothesis that changes in the viscoelastic material properties of peripapillary sclera are present within monkey eyes at the onset of early experimental glaucoma detected by confocal scanning laser tomography (CSLT).
Surgical results of bleb revision with scleral patch graft for late-onset bleb complicationsIoannis Halkiadakis
Department of Glaucoma, General Hospital of Athens, Athens Medical School, Athens, Greece
Ophthalmic Surg Lasers Imaging 36:14-23. 2005..CONCLUSION: Bleb revision with scleral patch graft is effective for treating late-onset bleb complications, resulting in improvement in visual acuity and resolution of hypotonous maculopathy, bleb leaks, and dysesthesia...
Changes in protein profiles of guinea pig sclera during development of form deprivation myopia and recoveryXiangtian Zhou
School of Optometry and Ophthalmology and Eye Hospital, Wenzhou Medical College, Wenzhou, Zhejiang, China
Mol Vis 16:2163-74. 2010To investigate changes in protein profiles of posterior sclera in guinea pigs during development of form deprivation myopia and recovery.
Boston scleral lens prosthetic device for treatment of severe dry eye in chronic graft-versus-host diseaseDeborah S Jacobs
Boston Foundation for Sight, Needham, MA 02494, USA
Cornea 26:1195-9. 2007..To determine if the Boston Scleral Lens Prosthetic Device (BSLPD) reduces symptoms and improves quality of life in patients with severe dry eye from chronic graft-versus-host disease (cGvHD)...
Melatonin receptors in chick ocular tissues: implications for a role of melatonin in ocular growth regulationJody A Summers Rada
Department of Cell Biology, Universoty of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104, USA
Invest Ophthalmol Vis Sci 47:25-33. 2006....
Patterns of mRNA and protein expression during minus-lens compensation and recovery in tree shrew scleraHong Gao
Department of Vision Sciences, University of Alabama at Birmingham, Birmingham, AL 35294 4390, USA
Mol Vis 17:903-19. 2011To increase our understanding of the mechanisms that remodel the sclera during the development of lens-induced myopia, when the sclera responds to putative "go" signals of retinal origin, and during recovery from lens-induced ..
Form deprivation myopia in mature common marmosets (Callithrix jacchus)D Troilo
Department of Biological Science and Disease, New England College of Optometry, Boston, Massachusetts 02115, USA
Invest Ophthalmol Vis Sci 41:2043-9. 2000..The effects of such manipulations have generally been examined in neonatal or juvenile animals. Whether adolescent common marmosets (a new world primate) are susceptible to form deprivation myopia was studied...
Long-term results of Erbium YAG-laser-assisted deep sclerectomyT Klink
Department of Ophthalmology, Julius Maximilians University, Wuerzburg, Germany
Eye (Lond) 22:370-4. 2008..To evaluate the long-term results of Erbium YAG-laser-assisted deep sclerectomy (DS). In this procedure, the delicate dissection of a deep corneoscleral lamella is greatly simplified by using the Erbium YAG-laser...
Nitric oxide synthase-containing cells in the retina, pigmented epithelium, choroid, and sclera of the chick eyeA J Fischer
Lions Sight Centre and Department of Anatomy, The University of Calgary, Faculty of Medicine, Alberta, Canada
J Comp Neurol 405:1-14. 1999....
Therapeutic and ocular surface indications for scleral contact lensesKen Pullum
Moorfields Eye Hospital, London, UK
Ocul Surf 5:40-8. 2007..Actually, while some cases are challenging, many are straightforward. This review summarizes indications for therapeutic use of ScCLs and describes techniques and considerations that contribute to their clinical success...
Dimensions of the human sclera: Thickness measurement and regional changes with axial lengthRichard E Norman
Mechanical and Industrial Engineering, University of Toronto, Toronto, Ontario, Canada
Exp Eye Res 90:277-84. 2010..Thickness over the whole sclera was 670 +/- 80 microm (mean +/- SD; range: 564 microm-832 microm) over the 11 eyes...
Scleral contact lenses: the expanding roleKenneth W Pullum
Moorfields Eye Hospital, London, United Kingdom
Cornea 24:269-77. 2005..CONCLUSIONS: ScCLs continue to play a significant role in the management of corneal abnormalities, especially PCE, corneal transplant, and OSD. The great majority of lenses in use were nonventilated RGP designs...
The role of visual information in the control of scleral matrix biology in myopiaN A McBrien
Department of Optometry and Vision Sciences, The University of Melbourne, Victoria, Australia
Curr Eye Res 23:313-9. 2001..These visually-driven changes in scleral biochemistry are placed in the context of both the emmetropisation process and the abnormal enlargement of the eye that is characteristic of human high myopia...
Computational modeling of mechanical anisotropy in the cornea and scleraPeter M Pinsky
Department of Mechanical Engineering, Stanford University, Stanford, California 94305 4040, USA
J Cataract Refract Surg 31:136-45. 2005..To determine the biomechanical deformation of the cornea resulting from tissue cutting and removal by use of a new computational model and to investigate the effect of mechanical anisotrophy resulting from the fibrillar architecture...
Deep sclerectomy augmented with mitomycin CN Anand
Department of Ophthalmology, Calderdale and Huddersfield NHS Trust, Huddersfield Royal Infirmary, Huddersfield HD3 3EA, UK
Eye (Lond) 19:442-50. 2005..To investigate the comparative efficacy and safety of deep sclerectomy with and without intraoperative mitomycin C (MMC) application for lowering the intraocular pressure (IOP)...
Effect of induced myopia on scleral myofibroblasts and in vivo ocular biomechanical compliance in the guinea pigSimon Backhouse
Department of Optometry and Vision Science, New Zealand National Eye Centre, The University of Auckland, Auckland, New Zealand
Invest Ophthalmol Vis Sci 51:6162-71. 2010..To examine the effect of induced myopia on scleral myofibroblast populations and in vivo ocular biomechanical compliance...
Surgically induced necrotising scleritis following three-port pars plana vitrectomy without scleral buckling: a series of three casesA M S Morley
Uveitis Service, Moorfields Eye Hospital, London, UK
Eye (Lond) 22:162-4. 2008..To discuss potential pathogeneses and treatments...
Choroidal regulation of scleral glycosaminoglycan synthesis during recovery from induced myopiaJody A Summers Rada
Department of Cell Biology, University of Oklahoma Health Sciences Center, Oklahoma City, Oklahoma 73104, USA
Invest Ophthalmol Vis Sci 48:2957-66. 2007..The present study was undertaken to examine the relationship between choroidal permeability and scleral glycosaminoglycan synthesis rates during the development of and recovery from form deprivation myopia...
Interaction of lumican with aggrecan in the aging human scleraJane R Dunlevy
Department of Anatomy and Cell Biology, University of North Dakota School of Medicine and Health Sciences, Grand Forks, North Dakota 58203, USA
Invest Ophthalmol Vis Sci 45:3849-56. 2004..The present study was designed to describe the chemical nature of lumican core protein in the aging human sclera.
Long-term outcome of combined pars plana vitrectomy and scleral fixated sutured posterior chamber intraocular lens implantationBrendan J Vote
Department of Vitreoretinal Surgery, Moorfields Eye Hospital, London, United Kingdom
Am J Ophthalmol 141:308-312. 2006....
Drug delivery through the sclera: effects of thickness, hydration, and sustained release systemsSang-Bumm Lee
Emory Eye Center, Emory University, Suite B2600, 1365B Clifton Road, NE, Atlanta, GA, USA
Exp Eye Res 78:599-607. 2004..The apparent permeability constants (Ktrans) of human sclera for 3H-dexamethasone in BSS plus, fibrin sealant and F-127 gel were 11.5 x 10(-6), 7.3 x 10(-6), and 1...
Deep sclerectomy with various implants: an experimental and histopathologic study in a rabbit modelKuddusi Erkilic
Department of Ophthalmology, Erciyes University Medical Faculty, Kayseri, Turkey
Ophthalmologica 218:264-9. 2004..To investigate the effectiveness of various implants used in experimental deep sclerectomy and to report tissue reactions developed to these implants histopathologically...
Distribution of adenosine receptors in human sclera fibroblastsDongmei Cui
State Key Laboratory of Ophthalmology, Zhongshan Ophthalmic Center, Sun Yat Sen University, Guangzhou, China
Mol Vis 14:523-9. 2008..with adenosine receptor antagonists has been reported to affect the biochemistry and ultrastructure of rabbit sclera. This study was conducted to determine whether adenosine receptors (ADORs) are present in human scleral ..
Transscleral-RPE permeability of PEDF and ovalbumin proteins: implications for subconjunctival protein deliveryJuan Amaral
Laboratory of Retinal Cell and Molecular Biology, National Eye Institute, National Institutes of Health, Bethesda, Maryland 20892-0706, USA
Invest Ophthalmol Vis Sci 46:4383-92. 2005..CONCLUSIONS: The sclera and RPE were permeable in vitro, ex vivo, and in vivo to PEDF and ovalbumin proteins...
Changes in scleral MMP-2, TIMP-2 and TGFbeta-2 mRNA expression after imposed myopic and hyperopic defocus in chickensRuth Schippert
Section of Neurobiology of the Eye, University Eye Hospital, Calwerstr. 7/1, , Germany
Exp Eye Res 82:710-9. 2006..MMP-2) and decreased amounts of tissue inhibitor of matrix metalloproteinase-2 (TIMP-2) in the fibrous sclera of both chicks and tree shrews...
Melatonin receptor expression in the cornea and scleraAllan F Wiechmann
Department of Cell Biology, Health Sciences Center, University of Oklahoma, PO Box 26901, Oklahoma City, OK 73190, USA
Exp Eye Res 77:219-25. 2003The scornea and sclera have been shown to exhibit circadian rhythms in cellular proliferation, wound healing and extracellular matrix synthesis...
Myopia and polymorphisms in genes for matrix metalloproteinasesNigel F Hall
MRC Epidemiology Resource Centre, University of Southampton, Southampton General Hospital, Southampton, United Kingdom
Invest Ophthalmol Vis Sci 50:2632-6. 2009..To investigate the relation between myopia and variations in three genes coding for matrix metalloproteinases, enzymes that degrade matrix proteins and modulate scleral extensibility...
The influence of intraocular pressure on the transscleral diffusion of high-molecular-weight compoundsLars P J Cruysberg
Department of Ophthalmology, Emory University, Atlanta, GA 30322, USA
Invest Ophthalmol Vis Sci 46:3790-4. 2005PURPOSE: To evaluate the effects of intraocular pressure on the permeability of the human sclera to high-molecular-weight compounds...
Indian hedgehog signaling from endothelial cells is required for sclera and retinal pigment epithelium development in the mouse eyeGabriel D Dakubo
University of Ottawa Eye Institute, 451 Smyth Road, Ottawa, ON, Canada K1H 8M5
Dev Biol 320:242-55. 2008The development of extraocular orbital structures, in particular the choroid and sclera, is regulated by a complex series of interactions between neuroectoderm, neural crest and mesoderm derivatives, although in many instances the signals ..
A modified technique of scleral fixated intraocular lenses for aphakic correctionA L Young
Department of Ophthalmology and Visual Sciences, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, N T Hong Kong, People s Republic of China
Eye (Lond) 19:19-22. 2005....
The time course of changes in mRNA levels in tree shrew sclera during induced myopia and recoveryJohn T Siegwart
Department of Physiological Optics, School of Optometry, 302 Worrell Building, University of Alabama at Birmingham, Birmingham, AL 35294 4390, USA
Invest Ophthalmol Vis Sci 43:2067-75. 2002....
The inflation response of the posterior bovine scleraKristin M Myers
Department of Mechanical Engineering, Johns Hopkins University, Baltimore, MD 21218, USA
Acta Biomater 6:4327-35. 2010An in vitro inflation test method was developed to characterize the mechanical behavior of the bovine posterior sclera. The method used digital image correlation to provide a spatially resolved, full-field deformation map of the surface ..
Structural and ultrastructural changes to the sclera in a mammalian model of high myopiaN A McBrien
Department of Optometry and Vision Sciences, The University of Melbourne, Victoria, Australia
Invest Ophthalmol Vis Sci 42:2179-87. 2001..changes and the losses in scleral tissue that have previously been reported in animal models were investigated to determine the relationship between changes in collagen fibril architecture and thinning of the sclera in high myopia.
Identification of choroidal ovotransferrin as a potential ocular growth regulatorJ A Rada
Department of Anatomy and Cell Biology, School of Medicine and Health Sciences, University of North Dakota, Grand Forks, North Dakota 58202, USA
Curr Eye Res 22:121-32. 2001....
Biodegradable scleral plugs for vitreoretinal drug deliveryT Yasukawa
Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, 54 Kawahara cho, Shogoin, Sakyo ku, 606 8507, Kyoto, Japan
Adv Drug Deliv Rev 52:25-36. 2001..This implantable scleral plug was supposed to be advantageous for diseases such as cytomegalovirus retinitis that respond to repeated intravitreal injections and for vitreoretinal disorders that require vitrectomy...
Biochemical studies of glycosaminoglycans in nanophthalmic scleraM Kawamura
Department of Ophthalmology, Keiyu General Hospital, Kangawa, Japan
Graefes Arch Clin Exp Ophthalmol 233:58-62. 1995..or sclerectomy, many observers have found abnormal accumulation of glycosaminoglycans (GAGs) in nanophthalmic sclera. These GAG abnormalities were thought to effect the collagen changes, though it was not clear which GAGs were ..
Scleral fixation of secondary foldable multifocal intraocular lens implants in children and young adultsPhilipp C Jacobi
Department of Ophthalmology, University of Cologne, Cologne, Germany
Ophthalmology 109:2315-24. 2002....
Bilateral spontaneous subluxation of scleral-fixated intraocular lensesEhud I Assia
Department of Ophthalmology, Meir Hospital, Sapir Medical Center, Kfar Saba 44281, Israel
J Cataract Refract Surg 28:2214-6. 2002..Late subluxation of a sutured IOL may occur several years after implantation. Double fixation and thicker sutures should be considered, especially in young patients...
In vitro diffusion of mitomycin-C into human sclera after episcleral application: impact of diffusion timeM Georgopoulos
Department of Ophthalmology, University of Vienna, Austria
Exp Eye Res 71:453-7. 2000..After irrigation with 40 ml saline, we allowed further diffusion of MMC in the sclera for 1, 5, 14 and 29 min until the specimens were further processed...
Predictors for success of needle revision of failing filtration blebsAnjali S Hawkins
Department of Ophthalmology, Rush Medical College of Rush University, Chicago, Illinois, USA
Ophthalmology 109:781-5. 2002..Other demographics such as gender, race, type of glaucoma, previous surgery, antimetabolite used for the initial trabeculectomy, and lens status were also not predictive for success...
Protocol for mitomycin C use in glaucoma surgeryJ A Maquet
Department of Ophthalmology, University Hospital, University of Valladolid, Valladolid, Spain
Acta Ophthalmol Scand 83:196-200. 2005..To evaluate the results of a protocol described for mitomycin C (MMC) use in trabeculectomy or combined surgery (phacoemulsification and trabeculectomy)...
Diode laser transscleral cyclophotocoagulation-induced staphyloma following trabeculectomy with mitomycin CTiago S Prata
Department of Ophthalmology, Federal University of Sao Paulo, Sao Paulo, Brazil
Ophthalmic Surg Lasers Imaging 39:343-5. 2008..Repeated transscleral cyclophotocoagulation procedures should be performed cautiously in patients who have had previous trabeculectomy...
Effect of temporal and nasal unsutured limbal tunnel incisions on induced astigmatism after phacoemulsificationStephan Kohnen
Department of Ophthalmology, Marienhospital, Aachen, Germany
J Cataract Refract Surg 28:821-5. 2002..To compare the surgically induced corneal astigmatism after unsutured temporal and nasal unsutured limbal tunnel incisions...
The efficacy and safety of intraoperative and/or postoperative 5-fluorouracil in trabeculectomy and phacotrabeculectomyR P Singh
Eye Associates, Sydney, New South Wales, Australia
Clin Experiment Ophthalmol 29:296-302. 2001..Phacotrabeculectomy with postoperative 5-FU had a lower surgical success rate than did trabeculectomy with 5-FU and this was not statistically different from trabeculectomy without 5-FU...
Ultrasound biomicroscopy in deep sclerectomyH A Khairy
Department of Ophthalmology, Aberdeen Royal Infirmary, University of Aberdeen, Aberdeen, UK
Eye (Lond) 19:555-60. 2005..To evaluate by ultrasound biomicroscopy (UBM) the anatomical characteristics and the intraocular pressure (IOP) lowering mechanisms of deep sclerectomy after long-term follow-up...
Free conjunctival autologous graft for bleb repair and bleb reduction after trabeculectomy and nonpenetrating filtering surgeryC C Schnyder
Glaucoma Unit, Hopital Ophtalmique Jules Gonin, University of Lausanne, Switzerland
J Glaucoma 11:10-6. 2002..However, patients should be aware of the postoperative possibility of requiring medical or surgical intervention for IOP control after revision...
Needle revision of failed filtering blebs using 5-Fluorouracil and a combined ab-externo and ab-interno approachJames J Pasternack
Department of Ophthalmology, University of Connecticut, Farmington, CT, USA
J Glaucoma 14:47-51. 2005..The outcome of this procedure compares favorably with previously reported revision techniques...
Inadvertent sclerostomy with encysted bleb following trans-scleral contact diode laser cyclophotocoagulationViney Gupta
Clin Experiment Ophthalmol 34:86-7. 2006..Ultrasound biomicroscopy revealed a full thickness sclerostomy. This report suggests that inadvertent sclerostomy may present with encysted bleb months after trans-scleral contact diode laser cyclophotocoagulation...
Long-term effects of simultaneous subconjunctival and subscleral mitomycin C application in repeat trabeculectomyYi-an You
Department of Ophthalmology, First Affiliated Hospital, Wenzhou Medical College, Wenzhou, Zhejiang, China
J Glaucoma 11:110-8. 2002..The procedure is effective and safe in patients with repeat trabeculectomy...
Scleral-fixated posterior chamber intraocular lenses in non-vitrectomized eyesY F Yang
Department of Ophthalmology, Queen Alexandra Hospital, Portsmouth, UK
Eye (Lond) 20:64-70. 2006....
Assessing the role of subconjunctival versus intrascleral application of mitomycin C in high-risk trabeculectomiesH C Agarwal
Glaucoma Service, Dr. R.P. Centre for Ophthalmic Sciences, AIIMS, New Delhi, India
Indian J Ophthalmol 49:91-5. 2001..CONCLUSION: No significant difference was seen in overall success or complication between subconjunctival and intrascleral application of MMC-augmented trabeculectomies in glaucomatous eyes at high risk of surgical failure...
Combined cataract and glaucoma surgery with mitomycin C: phacoemulsification-trabeculectomy compared to phacoemulsification-deep sclerectomyC L Funnell
West Yorkshire Rotation, Clarendon Wing, Leeds General Infirmary, Leeds, UK
Br J Ophthalmol 89:694-8. 2005..4%) of the PT group (p = 0.004). CONCLUSION: In this study, no statistically significant difference was found in the IOP and visual outcomes between PDS and PT. A significantly higher frequency of late bleb leaks after PT was observed...
Modified cow-hitch suture fixation of transscleral sutured posterior chamber intraocular lenses: long-term safety and efficacySimon X Chen
Department of Ophthalmology, Royal Brisbane Hospital, Herston, Queensland, Australia
J Cataract Refract Surg 34:452-8. 2008..To evaluate the long-term safety and efficacy of a new technique using a modified cow-hitch knot for transscleral suture fixation of posterior chamber intraocular lenses (PC IOLs)...
Phacofragmentation with perfluorocarbon liquid and anterior chamber or scleral-fixated intraocular lens implantation for the management of luxated crystalline lensesWojciech Omulecki
Department of Ophthalmology, Medical University of Lodz, Lodz, Poland
J Cataract Refract Surg 31:2147-52. 2005..To present a complex surgical technique used for the management of luxated crystalline lenses and evaluate treatment results...
Donor scleral patch for treating hypotony due to leaking and/or overfiltering blebsNoga Harizman
The Sam Rothberg Glaucoma Center, Goldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer Hospital, Israel
J Glaucoma 14:492-6. 2005..The loose suturing of the scleral patch at its posterior border was found to prevent intraocular pressure spikes...
Transscleral contact krypton laser cyclophotocoagulation for treatment of posttraumatic glaucomaV E Raivio
Department of Ophthalmology, Helsinki University Eye Hospital, Finland
J Glaucoma 10:77-84. 2001..The krypton laser was delivered by a fiberoptic probe with simultaneous compression of the sclera. The energy used was 3 to 5 J per application at the tip of the probe, with an exposure time of 10 seconds...
Endoscope-assisted transscleral suture fixation to reduce the incidence of intraocular lens dislocationManabu Sasahara
Department of Ophthalmology and Visual Sciences, Kyoto University Graduate School of Medicine, Kyoto, Japan
J Cataract Refract Surg 31:1777-80. 2005..01). CONCLUSION: Using an endoscope for transscleral sulcus suturing of an IOL can be an effective technique to reduce surgical complications, especially postoperative IOL dislocation...
Fibrin glue as a suture substitute: histological evaluation of trabeculectomy in rabbit eyesIrit Bahar
Department of Opthalmology, Rabin Medical Center, Petah Tiqwa, Israel
Curr Eye Res 31:31-6. 2006..To describe the outcome of the use of fibrin adhesive (Quixil) in penetrating trabeculectomy in a rabbit model...
A prospective trial of phaco-trabeculotomy combined with deep sclerectomy versus phaco-trabeculectomyChristoph Lüke
Center of Ophthalmology, University of Cologne, Cologne, Germany
Graefes Arch Clin Exp Ophthalmol 246:1163-8. 2008..This study was designed to prospectively compare a new technique of phaco-trabeculotomy plus deep sclerectomy (PDSTO) with standard phaco-trabeculectomy (PTE)...
Research Grants
- Transscleral Transport & Polymeric Delivery of Antibody & Steroids for Macular EdAshim K Mitra; Fiscal Year: 2010..iii) nanoparticles suspended in the thermosensitive gel, using in vitro (ARPE-19 cell line) and ex vivo (isolated sclera and RPE-choroid-sclera) models (2) to synthesize ester-peptide (Valine-, Valine-Valine-, Glycine-Valine-, and ..
- Transscleral Transport & Polymeric Delivery of Antibody & Steroids for Macular EdAshim Mitra; Fiscal Year: 2009..iii) nanoparticles suspended in the thermosensitive gel, using in vitro (ARPE-19 cell line) and ex vivo (isolated sclera and RPE-choroid-sclera) models (2) to synthesize ester-peptide (Valine-, Valine-Valine-, Glycine-Valine-, and ..
- Advanced Engineering Development of a Chronic Retinal ImplantJOHN L contact WYATT; Fiscal Year: 2010..The implant will be driven wirelessly, with almost the entire bulk of the implant attached to the outer wall (sclera) of the eye...
- MECHANISMS OF OCULAR DEVELOPMENTTHOMAS NORTON; Fiscal Year: 2009..that originates in the retina, travels through the retinal pigment epithelium (RPE) and choroid, and reaches the sclera (the fibrous outer coat of the eye); and 3) fibroblasts in the sclera which respond to the signaling cascade by ..
- MECHANISMS OF OCULAR DEVELOPMENTThomas T Norton; Fiscal Year: 2010..that originates in the retina, travels through the retinal pigment epithelium (RPE) and choroid, and reaches the sclera (the fibrous outer coat of the eye);and 3) fibroblasts in the sclera which respond to the signaling cascade by ..
- MECHANISMS OF OCULAR DEVELOPMENTThomas T Norton; Fiscal Year: 2010..that originates in the retina, travels through the retinal pigment epithelium (RPE) and choroid, and reaches the sclera (the fibrous outer coat of the eye);and 3) fibroblasts in the sclera which respond to the signaling cascade by ..
- MECHANISMS OF OCULAR DEVELOPMENTTHOMAS NORTON; Fiscal Year: 2009..that originates in the retina, travels through the retinal pigment epithelium (RPE) and choroid, and reaches the sclera (the fibrous outer coat of the eye); and 3) fibroblasts in the sclera which respond to the signaling cascade by ..
- In Vivo Imaging of Leukocyte-Endothelial DynamicsWilliam Mathers; Fiscal Year: 2005..quantitate leukocyte rolling and arrest in 4 different human vascular beds: the limbus, conjuctiva, episclera, and sclera. With these three specific aims: Aim one, we propose to image rolling and sticking of leukocytes in four different ..
- METALLOPROTEINASES IN NORMAL & KERATOCONUS CORNEASMARIA KENNEY; Fiscal Year: 1993..biochemical, immunohistochemical and molecular methods to: (1) examine and compare all MP activities in cornea and sclera organ cultures; (2) determine if different proteolytic activities are a modification of the same enzyme or ..
- FIBROBLAST DIFFERENTIATION DURING EYE DEVELOPMENTGARY CONRAD; Fiscal Year: 2007..keratocytes, non-myelinating and myelinating Schwann cells, connective tissues of limbus, conjunctiva, choroid, sclera, eyelids, iris, lacrimal and other glands, and in birds, scleral ossicles...
- FIBROBLAST DIFFERENTIATION DURING EYE DEVELOPMENTGARY CONRAD; Fiscal Year: 2007..keratocytes, non-myelinating and myelinating Schwann cells, connective tissues of limbus, conjunctiva, choroid, sclera, eyelids, iris, lacrimal and other glands, and in birds, scleral ossicles...
- Pulsed Electron Avalanche Knife: Intraocular Microsurg.Daniel Palanker; Fiscal Year: 2006..3) The instrument did not dissect more fibrotic tissue such as sclera and cornea. (4) Pointed microelectrodes were not able to coagulate tissue...
- Transcleral Therapeutics in Diabetic RetinopathyUday B Kompella; Fiscal Year: 2010..will assess transscleral permeability for a series of prodrugs of celecoxib across various barriers including sclera-choroid-RPE...
- MECHANISMS OF OCULAR DEVELOPMENTTHOMAS NORTON; Fiscal Year: 2007..cues); 2) a signaling cascade from the retina, through the retinal pigment epithelium (RPE) and choroid, to the sclera (the fibrous outer coat of the eye); and 3) fibroblasts in the sclera which respond to retinal signals by ..
- Treatment of Retinal Vascular Leakage Using AngiostatinGennadiy Moiseyev; Fiscal Year: 2005..1) To determine if trans-sclera deliveries of angiostatin can reduce retinal vascular leakage in diabetic rats...
- Customized Contact LensesGeunyoung Yoon; Fiscal Year: 2010..Aim1.4 is to develop customized scleral lenses that sit stably on the sclera rather than cornea. Aim 1...
- MECHANISMS OF OCULAR DEVELOPMENTTHOMAS NORTON; Fiscal Year: 2006..retina, which detects the amount of defocus, 2) a signaling cascade from the retina, through the choroid to the sclera (the fibrous outer coat of the eye), and 3) fibroblasts in the sclera which respond to retinal signals by ..
- Ultrasound-Enhanced Delivery of Medications to the EyeRonald Silverman; Fiscal Year: 2007..Because the outer shell of the eye (the sclera) is relatively impermeable to high molecular weight drugs, intraocular injection is the most widely used means to ..
- PROCESSING STREAMS IN EARLY VISIONPatrick Cavanagh; Fiscal Year: 2004..In this last study we will stimulate the retina through the sclera and address the question of how the perceived location of object is corrected for the direction of gaze...
- Intraocular Pressure-Mediated .Damage to the Optic NerveEric Nauman; Fiscal Year: 2004..Elevated pressure increases the mechanical stress in the sclera and the support structures surrounding the optic nerve head including the lamina cribrosa...
- Transcleral Delivery of Drugs from a Collagen SystemDale DeVore; Fiscal Year: 2004..The sclera of the eye has been found to be permeable to a wide variety of compounds and may be a possible route for local ..
- Genetic Basis of NanophthalmosOlof Sundin; Fiscal Year: 2003..Another characteristic of the disease is massive thickening of the choroid and sclera, which may be associated with a tendency of the eye to develop exudative retinal detachment, especially as a ..
- Regulation of Scleral Growth and Remodelling in MyopiaJODY RADA; Fiscal Year: 2005..While it is clear that changes in the shape of the sclera produce myopia, the basis for this shape change is largely unknown...
- Enhanced Drug Access to Eye TissuesJohn Tomich; Fiscal Year: 2004..Over the next year, we will measure transport of fluorescently-labeled antibiotics across isolated cornea and sclera-conjuntiva in the presence and absence of our highest potency peptide, NC-1059, as well as several control ..
- Cell Biology of Astrocytes in the Optic Nerve HeadTATJANA CLAUDIA JAKOBS; Fiscal Year: 2010..to the axons that would cause this geometry is the portion of the optic nerve head that lies directly behind the sclera, because there the axons are organized into bundles with a topographic relationship to the retina...
