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To the Editor:—I read with deep interest in the August issue of the Archives, page 315, Dr. O'Connor's comment on my article entitled "Simplification of the O'Connor Cinch Operation," published in the June issue.
Dr. O'Connor stated that I have "fallen into the common error" that he (Dr. O'Connor) always divides the tendon into four strips. I know that he does not always divide the tendon into four strips. However, I invariably do for the type of case mentioned in my article, and for the following reasons:
To remove the danger of tearing a strip of tendon. When the tendon is divided into more than four strips—Dr. O'Connor even suggests up to twelve strips in some cases—one of these delicate thin strips (often 1 mm. or less wide) is occasionally torn when the strip is pulled aside for looping, no matter how gently the narrow strip is handled. This
Smukler ME. SIMPLIFICATION OF THE O'CONNOR CINCH OPERATION. Arch Ophthalmol. 1938;20(3):502. doi:10.1001/archopht.1938.00850210158015
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