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June 1950


Author Affiliations

Oakland, Calif.

Arch Ophthalmol. 1950;43(6):1089. doi:10.1001/archopht.1950.00910011106016

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To the Editor:  —Many years ago Shoemaker expressed the belief that any good result from a Motais operation is due merely to an adhesion of the tarsus to the globe. Spaeth believes this to be true and argues for the firmest possible attachment. Recently Berke (An Operation for Ptosis Utilizing the Superior Rectus Muscle, Arch. Ophth.42:685 [Dec.] 1949) has described an operation which exactly carries out Spaeth's idea. His article is responsible for this letter.For twenty-five years I have been performing the Motais operation by a technic that does not anchor the tarsus to the globe. This is proved in two ways: 1. On eversion of the lid the upper edge of the tarsus presents in a normal way. 2. In several cases there was enough downward deviation to require reoperation to cinch the untransplanted portion of the superior rectus muscle. In each case there was no

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