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April 1965

Correction of Spastic Entropion: An Effective Cautery Technique

Arch Ophthalmol. 1965;73(4):514-515. doi:10.1001/archopht.1965.00970030516013

Introduction  For approximately 15 years the author has used a simple cautery procedure for the relief of spastic entropion. During this time it has not been necessary to resort to any of the more complicated and varied plastic operations described by various ophthalmic surgeons. Most of these require varying periods of disability, pressure bandages, and, frequently, hospitalization. The method outlined below entails none of these.It would seem that the classic Ziegler punctures1 are not effective enough in the hands of many ophthalmologists. Otherwise these multiple plastic procedures would not continue to be published, and, in addition, described at ophthalmological meetings.This operation is indicated only for persistent entropion. It has not been needed for the temporary turning in of a lower lid occasionally seen after cataract extractions and other types of ophthalmic surgery.

Technique  After procaine infiltration, the lower lid is grasped near its center with a Graefe

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