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September 1931


Arch Ophthalmol. 1931;6(3):329-361. doi:10.1001/archopht.1931.00820070345001

In the Archives of Ophthalmology for 19221 and in the Transactions of the Ophthalmological Society of the United Kingdom for 1925,2 I outlined the principles of what I designated as the operation of recession. It was devised because of the belief that tenotomy, which in contrast to advancement had never been an operation of precision, could be made so and its usefulness greatly augmented and safeguarded. It was also born of the conviction derived from experience with the combined operation that a large proportion of the corrections attributed to advancement, and especially to resection, were in reality brought about by the tenotomy, and if the tenotomy could be extended under safe conditions, computed and graded, and the end of the muscle sclerally fixed as in advancement, the yield in corrections would be greatly increased and stabilized.

It was evident at the beginning that if a useful

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