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August 1954


Author Affiliations

From the Ophthalmological Service of the Montefiore Hospital.

AMA Arch Ophthalmol. 1954;52(2):234-239. doi:10.1001/archopht.1954.00920050236006

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THERE ARE several types of massive proptosis which constitute a dangerous threat to the eye. In such cases the cornea is exposed because the lids cannot close over it. This is followed by exposure keratitis, which may terminate in serious loss of vision, or even in loss of the eye. For a mild degree of corneal exposure there are a number of well-known techniques available, such as production of marginal lid adhesions and the Fuchs, Wheeler, and Kuhnt-Szymanowsky tarsorrhaphies. However, in the massive proptosis which may be encountered with some cases of thyrotropic exophthalmos, especially with orbital tumors, these measures may not be sufficient to protect the globe. Even when they are attempted in such cases, the lid sutures give way under the pressure and the cornea is again exposed. The procedure to be described has the great advantage that it produces a firm tarsorrhaphy and secures protection for the

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