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We describe the use of the "lateral canthal sling" in the treatment of non-cicatrical "senile" ectropion of the lower lid. Combined with a resection of the lower retractors and the hypertrophied palpebral conjunctiva we consider it the treatment of choice for repairing non-cicatrical "marginal" ectropion. We offer a theory of the pathogenesis of the latter.
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