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How much MCT laxity is required before you will repair the MCT?
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Does your decision to repair the MCT vary if the patient presents with epiphora?
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What is your preferred method of MCT repair? Do you tighten the anterior limb, posterior limb or both? What type of suture and needle, etc, are used? Do you cut/shorten the elastic canaliculus? If so, do you intubate?
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What is your management in severe cases with such gross MCT laxity that the whole inner canthus complex (including caruncle and upper and lower MCT) is distractable laterally?
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