We appreciate the opportunity to respond to Dr Parodi's comments, which permits us to re-emphasize some very important points that may have been too well hidden in our article about eyes with perfused vein occlusion.1
Our most important message was to confirm the observations by McAllister and Constable2 that a chorioretinal anastomosis can be produced with laser photocoagulation and that the presence of an anastomosis can result in very marked and rapid improvement of visual acuity to 20/25 after many months of decreased visual acuity to 20/100. This important therapeutic option opens a new avenue of investigation for a previously untreatable complication of a common retinal vascular disturbance.
Fekrat S, Goldberg MF, Finkelstein D. Laser-Induced Chorioretinal Anastomosis and Central Retinal Vein Occlusion. Arch Ophthalmol. 1999;117(1):140-141. doi: