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A substantial gold-filled frame with a pad bridge is fitted to the patient. A pair of box studs is next soldered to the frame at the point where leverage is most suitable. This point varies with each person. The contour of the supra-orbital ridge and the nose, as well as the position of the eye in the socket, enters into the location of these studs.
A piece of piano wire of tension sufficient for the weight of the ptosed lid is taken. This is bent with a curvature that will fit into the fold of the upper lid. The wire is then bent to give greater freedom for adjustment and carried to and looped around the screw of the stud. The portion of the wire in contact with the upper lid is covered with zylonite tubing.
This crutch is inconspicuous and easily worn.
Dodge WM. AN IMPROVED LID CRUTCH. Arch Ophthalmol. 1935;14(6):989–990. doi:10.1001/archopht.1935.00840120127016
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