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Dr. Ascher's letter was referred to Dr. Hildreth who offers the following reply:
To the Editor:
It was kind of Dr. Ascher to write his friendly and constructive letter. At once it is evident that we both heartily agree never to use a second attachment of the lids placed anywhere in the nasal half. Such a procedure is not uncommonly performed and leads to a most unsightly appearance which is all entirely unnecessary.Unfortunately I permitted the artist to exaggerate the depth of the cut in the illustration used in my paper. Actually I merely denude the bare area of the lid border lying between the lashes and the conjunctival edge. No lash follicles are excised.Whether one desires to denude the lid border to the outer canthus could depend on several circumstances. The use of the clamp as I have described in my short article is the chief point
Hildreth HR. TARSORRHAPHY-Reply. Arch Ophthalmol. 1966;75(4):582. doi:10.1001/archopht.1966.00970050584028