In simple words: This procedure strengthens the white part of your eye (sclera) using a supporting material (graft). It's done when the sclera is weak, sometimes due to severe nearsightedness, to prevent further damage to the back of the eye (macula).The surgeon makes a small cut, carefully separates some eye muscles, places the graft material under the muscles, and secures it with stitches. Different graft materials can be used, including natural tissues or synthetic materials.

This procedure reinforces a weakened sclera using a graft.The conjunctiva and Tenon's capsule are incised, and the lateral, superior, and inferior recti muscles are separated.The connective tissue is separated from the posterior pole and inferior oblique muscle.The graft material is passed under the separated muscles and positioned towards the posterior pole.The ends of the graft are crossed over the medial rectus muscle and sutured to the sclera. Graft materials can include fascia lata, donor sclera, human dura mater, animal tendons, or synthetic materials.

Example 1: A patient with progressive myopia and documented scleral thinning undergoes scleral reinforcement with a donor sclera graft to prevent further macular damage., Following trauma to the eye, a patient requires scleral reinforcement using fascia lata graft to stabilize the weakened scleral tissue., A patient with a scleral defect undergoes reinforcement with a synthetic graft material to maintain the integrity of the eyeball.

Documentation should support the medical necessity of the procedure, including evidence of scleral thinning, progressive myopia, or other conditions requiring reinforcement. The type of graft material used should also be documented.