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November 1964


Author Affiliations

1011 Madison Ave Albany, NY 12208

Arch Ophthalmol. 1964;72(5):740. doi:10.1001/archopht.1964.00970020740029

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To the Editor:  The article by Dr. P. H. Ballen regarding his treatment of a patient with cicatricial entropion of the upper lid (Archives of Ophthalmology 72: 239-240, 1964) was most interesting.A little over a year ago I was faced with a similar problem in an elderly lady with cicatricial entropion of the upper lid secondary to old trachoma. Because of her poor general condition I was reluctant to perform any surgery and therefore confined my treatment to the frequent removal of large numbers of offending cilia. When this treatment seemed to be getting nowhere, I decided to perform the simplest operation that might have any chance of success. After reviewing the many procedures described in the various surgical reference books, I chose the Wies operation which I had used successfully many times in the treatment of spastic entropion of the lower lid. The result of this operation on

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