Skip to main content
Log in

Scleral damage: comparison of standard and modified diathermy electrodes

  • Original Papers
  • Published:
International Ophthalmology Aims and scope Submit manuscript

Abstract

Full-thickness scleral diathermy using a standard electrode causes significant scleral damage and necrosis. Use of a modified (Jabbour's) diathermy electrode appears to cause minimal scleral damage. We evaluated the scleral changes following transscleral diathermy application using standard and modified diathermy electrodes to the peripheral retina and ciliary body. Twelve Dutch belted pigment rabbits were used in our experiment. Three eyes each were subjected to transscleral diathermy using standard and modified electrodes to produce chorioretinal scars and cyclodestruction. Eyes were examined with the slit lamp and indirect ophthalmoscope at weekly intervals for 4 weeks. Light and transmission electron microscopy was performed 1 hour after diathermy application in 4 animals and in the remaining 8 animals at 4 weeks. Chorioretinal scarring and ciliary body atrophy were successfully induced with both types of electrodes. However, scleral damage was less severe in eyes treated with the modified electrode as compared with the standard electrode.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Similar content being viewed by others

References

  1. Schepens CL. Current management of retinal detachment: progress or chaos? Ann Ophthalmol 1971; 3: 21–41.

    Google Scholar 

  2. Schepens CL. Methods of producing a chorioretinal scar. I. Diathermy. In: Retinal Detachment and Allied Diseases. Saunders, Philadelphia, pp 289–99, 1983.

    Google Scholar 

  3. Albaugh CH, Dunphy EB. Cyclodiathermy: an operation for the treatment of glaucoma. Arch Ophthalmol 1942; 27: 543–57.

    Google Scholar 

  4. de Guillebon HF, Eng D, Ishii U. Scleral changes during diathermy application: influence of electrode type. Arch Ophthalmol 1970; 83: 752–9.

    Google Scholar 

  5. Beckman H, Leff S, Sugar HS. Scleral bursting strength. Results after treatment with ruby laser, cryotherapy, or diathermy. Arch Ophthalmol 1975; 93: 428.

    Google Scholar 

  6. Elzeneiny I, deGuillebon HE Scleral damage in diathermy. Am J Ophthalmol 1970; 69: 754–62.

    Google Scholar 

  7. Jabbour M, McCormick SA, Gong H. Transscleral and transconjunctival diathermy. Retina 1989; 9: 127–30.

    Google Scholar 

  8. Oats MF, Zak RD, Jabbour NM. Cyclodestruction with transconjunctival diathermy in the rabbit model. Invest Ophthalmol Vis Sci 1992; 33 (Suppl): 1269.

    Google Scholar 

  9. Campochiaro PA, Kaden IH, Vidaurri-Leal J, Glaser BM. Cryotherapy enhances intravitreal dispersion of viable retinal pigment epithelial cells. Arch Ophthalmol 1985; 103: 434–6.

    Google Scholar 

  10. Singh AK, Michels RG, Glaser BM: Scleral indentation following cryotherapy and repeat cryotherapy enhance release of viable retinal pigment epithelial cells. Retina 1986; 6: 176–8.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Additional information

Supported in part by U.S. Public Health Service grants EY07541 and EY02377 from the National Eye Institute, National Institutes of Health, Bethesda, MD

Rights and permissions

Reprints and permissions

About this article

Cite this article

Bhatt, N., Peyman, G.A. & Karaçorlu, M. Scleral damage: comparison of standard and modified diathermy electrodes. Int Ophthalmol 17, 255–258 (1993). https://doi.org/10.1007/BF01007792

Download citation

  • Accepted:

  • Issue Date:

  • DOI: https://doi.org/10.1007/BF01007792

Key words

Navigation