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Reply to Dr. Raich
To the Editor.
—We would like to thank Dr. Raich for his comments and for his scrutiny of our paper. His experience is indeed valuable and we are pleased to be aware of his results.We feel that the management of intraocular injuries is not adequate and that the concept of simple wound closure is not sufficient for all injuries. Furthermore, we believe the concept of destructive fibrotic overgrowth is sound, and since it is based on clinical and pathological studies, this was the emphasis of our paper.It would be unfair to compare Dr. Raich's cases to ours. However, his comments do allow some clarification of the use of vitrectomy in trauma.First, we did not define our meaning of youth and we have unintentionally mislead Dr. Raich. In our experience, severe fibrotic overgrowth is a most severe threat in children under 10 years
Coles WH. Vitrectomy-Reply. Arch Ophthalmol. 1973;89(2):171. doi:10.1001/archopht.1973.01000040173028