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May 1971


Arch Ophthalmol. 1971;85(5):639-640. doi:10.1001/archopht.1971.00990050641025

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To the Editor.  —To quote Dr. Parks, "the primary objective of the strabismus surgeon should be to manipulate the muscle in such a manner as to produce minimal disturbance within and surrounding it so repeat surgery, if necessary, may be performed with ease on an intact muscle." The marginal myotomy, as I described it, disburbs the muscle very little, and I cannot agree that it is a crippling procedure. It can be done with very little injury to the muscle, because the area that is cut is made bloodless, by the crush of the hemostat. Tenon's is disturbed slightly, and no great reaction occurs.The proof of the procedure is in the results. If Dr. Parks would undertake a series, as a primary procedure, he would find that, even in his skilled hands, there would be less reaction than he had had previously, and he would be delighted with the

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