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Results: Five cases had extensive deep sclerectomies, 3 with intended drainage of subretinal fluid (SRF). The RD resolved 1 week postoperatively in 4 cases and within 1 month in 1 case. The visual acuity improved from light perception to a median of 20\/100. Three cases had longstanding lens touch beyond 1 year and improved VA to 20\/100, 20\/150, and hand motions, respectively. Complications included focal lens dialysis in 2 cases (passive drainage of SRF) and lens or intraocular lens dislocation in 1 case each (active drainage of SRF). Ultrasound biomicroscopy and anterior optical coherence tomography showed a very narrow angle and short zonules. Conclusions: Deep sclerectomy results in good anatomic and functional improvements in advanced cases of nanophthalmos exudative detachment, which is often considered to be incurable.<\/jats:p>","DOI":"10.1177\/24741264231220157","type":"journal-article","created":{"date-parts":[[2023,12,27]],"date-time":"2023-12-27T06:16:06Z","timestamp":1703657766000},"page":"173-180","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":3,"title":["Surgical Approaches to Serous Retinal Detachment With Retina\u2013Lens Touch in Eyes With Nanophthalmos"],"prefix":"10.1177","volume":"8","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-8430-2214","authenticated-orcid":false,"given":"Ahmad M.","family":"Mansour","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, American University of Beirut, Beirut, Lebanon"},{"name":"Department of Ophthalmology, Rafic Hariri University Hospital, Beirut, 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