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Article
August 27, 1892

A NEW METHOD OF OPERATING FOR TRICHIASIS, DISTICHIASIS AND ENTROPION OF UPPER LID.Read in the Section of Ophthalmology at the Forty-third Annual Meeting of the American Medical Association, held at Detroit, Mich., June, 1892.

Author Affiliations

PROFESSOR OF OPHTHALMOLOGY AND OTOLOGY IN DETROIT COLLEGE OF MEDICINE, OPHTHALMIC SURGEON TO ST. MARY'S HOSPITAL, SURGEON IN CHARGE OF ST. MAEY'S FREE EYE AND EAR INFIRMARY, DETROIT, MICH.

JAMA. 1892;XIX(9):260-261. doi:10.1001/jama.1892.02420090022002j

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Abstract

In common with many ophthalmic surgeons I have been for many years seeking for an operation for trichiasis or distichiasis which shall offer the easiest method to the surgeon and the best result to the patient. The Jarsche-Arlt operation and the Graefe modification of it, has for many years been considered by some as the best method of correcting the deformity, notwithstanding the facts that inflammation occasionally destroys the good effect intended, and the operation is particularly difficult when the cantili are the seat of abnormal cilia. Modifications have been offered by many operators, but most of them produce more or less cicatricial deformity of the lids. Most of us know by experience that in the transplantation of the cilia upwards (Jarsche-Arlt), it is difficult and sometimes impossible to separate all of the hair follicles from the tarsal cartilage in dividing the lid into two layers, as some may be

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