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To the Editor.
—The article by Hosni, entitled "Repair of Trachomatous Cicatricial Entropion Using Mucous Membrane Graft" and published in the Archives (91:49, 1974), was of great interest to me, and I would like to congratulate him on his results. I would like to draw his attention to an article that I have had published (S Afr Med J 43:172, 1969). Mucous membrane grafting can give very good results, but in an endemic trachomatous area, it is a time-consuming operation. As stated by Dr. Hosni, the basic principle of these operations is that one must not shorten the width of the tarsal plate. Therefore, a simple lid-splitting operation with pulling of the tarsoconjunctiva layer below the superficial skin and muscles layer has the same effect. The operation is quick and simple, and the results are very good.
Welsh NH. Mucous Membrane Grafting. Arch Ophthalmol. 1974;92(4):362. doi:10.1001/archopht.1974.01010010372030