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April 1966


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1404 E McMillan St Cincinnati, Ohio 45206

Arch Ophthalmol. 1966;75(4):582. doi:10.1001/archopht.1966.00970050584027

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To the Editor:  Dr. H. Rommel Hildreth certainly made an excellent suggestion in his article "Tarsorraphy" in the January issue of the Archives, when he advised use of the Desmarres lid clamp for the Panas operation. This will not only stop bleeding, and protect the cornea, but also eliminate the necessity of an assistant to hold Jaeger's lid plate needed for lid operations. However, I would advise never to perform this procedure if a temporary or permanent partial closure of the eye lids is indicated. It is one of the most disfiguring operations, whether the unsightly bridge is located centrally or somewhat laterally, and instead of which the closure of the temporal third of the lid fissure (Elschnig, Z Augenheilk33:280, 1915) is indicated. This procedure spares the lashes, which are left in their original position, and achieves an irreproachable cosmetic result. If the eye is to be irrigated,

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