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April 1978

The Indications and Contraindications of Cryosurgery

Author Affiliations

Little Rock, Ark

Arch Ophthalmol. 1978;96(4):729. doi:10.1001/archopht.1978.03910050407024

To the Editor.  —Any new form of therapy is looked at with a jaundiced eye by those who have seen many forms of treatment come and go. Only with time and controlled studies can this procedure be evaluated as to its benefits and limitations. Cryosurgery is now past the point of being an experimental procedure for skin malignancies, since well over 60,000 skin cancers have been treated with this form of therapy (S. A. Zacarian, oral communication, September 1977). However, it is in its infancy in ophthalmology, and we are going through a period of time where the indications and contraindications of this form of therapy for eyelid basal or squamous cell carcinomas are being evaluated.Within the past decade, cryotherapy for hemorrhoids was being pushed by aggressive instrument companies. Unfortunately, this action deterred the development of cryotherapy for hemorrhoids since poor instrumentation, misrepresentation of its ability, and oversimplification of

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