The object of the present paper is to present a new principle in operating for ectropion, which is applicable, either singly or in conjunction with other methods, in all forms of atonic ectropion, and in all cases of cicatricial ectropion in which the tarsus itself is not destroyed.
I say a new principle: it is new so far as I have been able to find out by consulting the literature at my command and by talking with my confrères. However, when we consider that Antillus devised an operation for this deformity fifteen centuries ago, and that operations and modifications innumerable have been practiced since then, it would be small wonder if this principle had not been hit on before.
The principle consists in shortening the tarsus at the temporal extremity, and then attaching this extremity to the periosteum of the temporal border of the orbit, on a level slightly above