Crossword-Solution: SCLERAL 7 letters, 2 clues 🏆 scrabble score: 9

What operative procedure gives, on the whole, the best results? In other words, what operation is the easiest of performance, is the least likely to be attended by serious complications and is available for the largest number of cases? Reasons for believing that of the better known procedures simple iridectomy is the least effective, while those interventions producing a large, thin, scleral filtration-cicatrix are the most valuable.

The scleral slip is then freed from the conjunctiva at each end and the mucous membrane brought together over the wound by fine catgut sutures.

The success of the Lagrange operation, which, like the Elliot operation, aims to produce a fistulous communication between the anterior chamber and the sub-conjunctival area, depends upon securing the removal of a relatively large section of all of the layers of the scleral and corneal lip of the wound, so that a permanent opening, covered by the replaced conjunctival flap, is made.

Unlike the trephine operation which was evolved from it, the Lagrange operation requires the same kind of an opening of the eyeball as required for a well executed iridectomy, and a properly placed section entirely in scleral tissue, with a good sized conjunctival flap, are elements which enter into the ultimate success or failure of the procedure.

The scleral infiltration causes a firm swelling, often sensitive to touch, over which the conjunctiva is freely movable.