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Without attempting to review the subject of muscle shortening I will briefly present a method which has been quite satisfactory in my experience on account of the short time required for its performance, its freedom from pain, and the accuracy with which any degree of heterophoria may be corrected. It may also be successfully employed as an auxiliary in those cases of marked strabismus in which complete tenotomies alone will not entirely correct the deviation. The method is as follows: With broad fixation forceps provided with teeth sufficiently long to engage all the ocular tissues down to the sclera, grasp conjunctiva, capsule of Tenon and tendon of ocular muscle in such a way as to produce a loop of tendon. Then fix the loop thus formed by a single suture of kangaroo tendon embracing the ocular tendon. Tie the thread thus employed and leave it to be absorbed. In case
McREYNOLDS JO. A METHOD OF EMPLOYING KANGAROO TENDON IN THE OPERATION FOR SHORTENING OCULAR MUSCLES. JAMA. 1898;XXX(5):255. doi:10.1001/jama.1898.72440570023001l
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