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To the Editor.
—The observation that the silicone sponge produces a scleral buckle without changing the patient's refractive error may be true, but our series was studied only from the standpoint of early and late complications of sponge infection and rejection. As we pointed out in the article, we think that the sponge cannot be depended upon to produce a permanent buckle. Perhaps this is the explanation for production of less myopia in the use of the sponge as compared with the use of a circling element.We will be checking our postoperative sponge patients to see if our findings are the same as yours, from a refractive standpoint.
Russo CE. SILICONE SPONGES-Reply. Arch Ophthalmol. 1971;86(6):726. doi:10.1001/archopht.1971.01000010728023