Why doesn't everyone get cantho?

UtahParentCenterPSL

UtahParentCenterPSL

Christ Is King. Top 33%
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If you have neutral or negative tilt why not get canthopexy? if positive tilt is inherently better then isn't everyone with neutral or negative tilt a candidate? even if you have positive like 2 degree positive or something it's still not as ideal as 4 degree. thoughts?
 
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