We appreciate the comments from Dr Fay and colleagues regarding our article.1 Their assertion that exenteration is not a primary treatment modality for children with orbital rhabdomyosarcoma is correct. However, this surgical approach remains an important treatment alternative in patients in whom initial therapy fails, as it did in this child.
O'Brien JM, Zoger S, Matthay KK, Goldsby RM. Reconstruction After Orbital Exenteration—Reply. Arch Ophthalmol. 2003;121(11):1662. doi:10.1001/archopht.121.11.1662-a