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Dr. Allen's letter was referred to Drs. Hill, Lopes and Hill, who offer the following reply.
To the Editor.
—We are obliged to Dr. Allen for calling attention to the inference which can be drawn from our advocacy of the routine use of the tonometer to assure ocular hypotony in cataract surgery. We regret that our enthusiasm for this simple, yet reassuring, maneuver led us to sound dogmatic. Certainly we did not mean to imply that failure to use the tonometer before making a cataract incision is negligence.However, if one believes that ocular hypotony is desirable in cataract surgery—and certainly there is a considerable body of informed opinion (even in Boston) in favor of it—then it seems only good sense to make sure that hypotony is attained. For many decades surgeons have been careful to check for pressure exerted upon the eyeball by a lid speculum or to
Hill HF, Lopez E, Hill K. PREOPERATIVE TENSION BETWEEN OPHTHALMOLOGISTS-Reply. Arch Ophthalmol. 1963;70(4):589-590. doi:10.1001/archopht.1963.00960050591037