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November 1986

Subretinal Neovascularization

Author Affiliations

Nijmegen, the Netherlands

Arch Ophthalmol. 1986;104(11):1588. doi:10.1001/archopht.1986.01050230026019

To the Editor.  —In their interesting article "Subretinal Neovascularization Following Metallic Intraocular Foreign Body Trauma," in the April 1986 Archives, Trimble and Schatz1 state that "subretinal neovascularization as a complication of chorioretinal injury from a metallic intraocular foreign body, to our knowledge, has not previously been reported."It may be of interest to them that I reported, in The Blood-Retinal Barriers,2 a case of a patient in whom subretinal neovascularization developed at the impact site after a direct hit on the paramacular retina by a copper wire. The wire struck the macula just superonasal to the fovea, after which it fell into the vitreous.I suggested that this appeared to be a model for the development of subretinal new vessels in humans. I agree that the metal wire makes a break in the retina, retinal pigment epithelium, Bruch's membrane, and, possibly, the choricapillaris, which triggers the formation of

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