I appreciate Dr Miller’s interest in my editorial. I was asked to write the piece specifically to put the accompanying monkey study1 into the physiological and clinical context. I did point out that the procedure, being based on a false premise, seemed unlikely to work according the hypothesis of circumferential flow in the canal of Schlemm. The disappointment is that such studies came so late in the development of the procedure, but it is neither fair nor realistic to distract rare scientists from their crucial work with investigations of every new surgical idea.
Van Buskirk EM. Viscocanalostomy Procedures—Reply. Arch Ophthalmol. 2005;123(10):1456. doi:10.1001/archopht.123.10.1456-a