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In Reply.–The comments offered by Drs O'Connor and Smolin and Mr Okumoto, who are acknowledged experts in the field of ocular microbiology, show a lack of perspective. Our initial study attempted to document the actual usefulness of the universally recommended "complete workup" in the establishment of a definitive diagnosis in patients with conjunctivitis who came untreated to our clinic. It was designed to provide us with practical clinical data and therefore used routine diagnostic techniques. However, additional efforts were made to ensure optimal results. The patients were examined and the findings were recorded with more than the usual degree of precision and care. The cultures were processed in the laboratory facilities of one of the investigators and not routinely in the hospital laboratories. The smears were read by two of the investigators who are ophthalmic pathologists.
We feel secure that our bacteriological methods meet the standards outlined by Dr
Leibowitz H. Diagnostic Test for Conjunctivitis-Reply. Arch Ophthalmol. 1977;95(2):332-333. doi:10.1001/archopht.1977.04450020133023