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To the Editor.
—In their article, "Vitrectomy in Intraocular Trauma" in the Archives (87:621, 1972), Coles and Haik recommend vitrectomy in cases of severe perforating ocular injuries in which the lens, ciliary epithelium, or vitreous body have been seriously injured to prevent fibrotic overgrowth. Vitrectomy is advocated particularly in the young both as a primary procedure and as a delayed secondary procedure.While serving in the Army in Vietnam, I treated 18 Vietnamese patients (aged 6 to 50) who sustained this type of injury and six American soldiers. It is my strong clinical impression that the less one does to these seriously damaged eyes the better. Most cases were treated by repairing the traumatic wound, applying diathermy around the area of a suspected retinal detachment, and excising damaged uveal tissue. Lens material was aspirated in a second procedure when the eye was quiet, unless the anterior chamber was filled
Raich WA. Vitrectomy. Arch Ophthalmol. 1973;89(2):171. doi:10.1001/archopht.1973.01000040173027