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July 1978

A Warning on Cryosurgery for Eyelid Malignancies

Arch Ophthalmol. 1978;96(7):1289-1290. doi:10.1001/archopht.1978.03910060099026

To the Editor.  —I read with interest Dr F. T. Fraunfelder's letter to the editor regarding "The Indications and Contraindications of Cryosurgery" (Archives 96:729, 1978). I was somewhat relieved to see that such a strong advocate of cryosurgery for eyelid malignancies inserted a slight note of skepticism concerning the general use of this type of therapy. I have a much stronger skepticism concerning this form of therapy for eyelid malignancies. While cryosurgery certainly has indications in oculoplastics, it cannot be recommended for wholesale treatment of any and all eyelid lesions as some marketers of instruments would make us believe. It requires some knowledge of cryogenics and it is not without complications.We have treated more than 150 patients with aberrant lashes with good results by using cryosurgery and we believe that, at present, aberrant lashes are the only well-proven indication for the use of cryosurgery on eyelids. We have

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