title: Scleral expansion bands for presbyopia.
abstract: OBJECTIVE
  To evaluate the safety and effectiveness of surgery using scleral expansion bands.
  
  
  METHODS
  Prospective, noncomparative, small case series.
  
  
  METHODS
  Six subjects were enrolled. Four subjects received implants in one eye and two subjects received implants in both eyes.
  
  
  METHODS
  Implantation of the scleral expansion bands (SEB) was performed using Schachar's standard technique. Subjects were observed at six postoperative examination intervals through 1 year.
  
  
  METHODS
  The key efficacy measures were distance-corrected near visual acuity (at 40 cm and 60 cm) and subjective amplitude of accommodation (push-up, push-down, and minus lens procedures).
  
  
  RESULTS
  Distance visual acuity was similar before and after surgery. The near visual acuity and the subjective amplitude of accommodation were temporarily improved in three eyes. However, in the other five eyes, we did not note any improvement of accommodation or near vision after the scleral expansion surgery.
  
  
  CONCLUSIONS
  In this study, the outcome of the SEB intervention was characterized by inconsistent and unpredictable results with a low level of patient satisfaction.
authors.affiliation: Service Ophtalmologie, Hôpital Purpan, Place Dr Baylac, 31059 Toulouse Cedex, France.
authors.forename: F J
authors.initials: FJ
authors.lastname: Malecaze
authors.forename: C S
authors.initials: CS
authors.lastname: Gazagne
authors.forename: M C
authors.initials: MC
authors.lastname: Tarroux
authors.forename: J M
authors.initials: JM
authors.lastname: Gorrand
mesh_terms: D000065:Accommodation, Ocular / Q000502:physiology; D005260:Female; D006801:Humans; D007429:Intraocular Pressure; D008297:Male; D008875:Middle Aged; D017060:Patient Satisfaction; D011305:Presbyopia / Q000503:physiopathology / Q000601:surgery*; D011446:Prospective Studies; D012449:Safety; D012590:Sclera / Q000601:surgery*; D015626:Tissue Expansion / Q000379:methods*; D015625:Tissue Expansion Devices; D016896:Treatment Outcome; D014792:Visual Acuity / Q000502:physiology