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ECHOES of Cornwall's cry: "Out, vile jelly! Where is thy lustre now?", as he gouges out Gloucester's second eye, have been heard again at a recent ophthalmic symposium. Many eye surgeons today seem to agree that "radical anterior vitrectomy" should be done in all cases of inadvertant vitreous loss during anterior segment surgery. Indeed, the fact that postoperative complications such as poor wound closure, epithelial down-growth, excessive astigmatism, secondary glaucoma, up-drawn pupil, bullous keratopathy, and opacification of the cornea or graft seem less common is ample cause to excise all vitreous gel down to the iris plane whenever some vitreous has already been lost. The indications for deliberately "planned" vitrectomy, however, are still not established.
It is understandable that, in today's age of neophilia, any new concept or method is readily and rapidly espoused, although sometimes with inadequate regard for its scientific or historical background. That this mood of radicalism
van Heuven WAJ. Out, Vile Jelly! (King Lear, Act III, Scene VII). Arch Ophthalmol. 1971;85(2):131-132. doi:10.1001/archopht.1971.00990050133002