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To the Editor:
—In the Archives for May and June 1939 (pages 746 and 935) is published a lengthy paper by A. Hagedoorn in which he describes the histologic changes in the eyes removed post mortem from a patient aged 48. "A clinical diagnosis was made of pseudobulbar paralysis ; pseudoxanthoma elasticum, with an associated disease of the fundus ; essential hypertension ; cardiac hypertrophy and dilatation ; hematemesis (cause?), and lobar pneumonia." The patient died of lobar pneumonia. It is not stated that necropsy was performed. The writer concludes that angioid streaks are ruptures in the degenerated Bruch's membrane. He states : "The fundi of the eyes of this patient could not be studied thoroughly because of her clinical condition; she died a few hours after the ocular examination. It was not possible to make an accurate drawing or a photograph of the fundi. There was marked degeneration of the circumpapillary and the macular
Verhoeff FH. ANGIOID STREAKS. Arch Ophthalmol. 1939;22(2):313. doi:10.1001/archopht.1939.00860080157016