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To the Editor:
—In the article "Histopathology of the Star-Figure of the Macular Area in Diabetic and Angiospastic Retinopathy," published in the Archives in March, 1957, page 376, the authors, J. R. Wolter, R. I. Goldsmith, and R. L. Phillips affirm in the introductory paragraph, "a white star-figure in the macular area is a typical ophthalmoscopic finding in advanced chronic diabetic and angiospastic retinopathy."It is my contention that this statement cannot be accepted on any terms, as it does not agree with facts and may at best lead to error. The macular star-fiure can be visualized in many conditions but never in diabetic retinopathy. The finding of a macular star-figure suggests renal retinopathy as the most likely diagnosis; it may suggest renal and diabetic retinopathy at most, but diabetic retinopathy in its pure forms (by far the most frequent) does not in its very typical ophthalmoscopic picture, during none
Nano HM. HISTOPATHOLOGY OF THE STAR-FIGURE OF THE MACULAR AREA IN DIABETIC AND ANGIOSPASTIC RETINOPATHY. AMA Arch Ophthalmol. 1958;59(1):152. doi:10.1001/archopht.1958.00940020180023