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To the Editor:—
In the paper by Winter on "Diabetic Retinopathy: Degenerative Vascular Complications of Diabetes and Discussion of Clinical Aspects of the Disease" (JAMA174:143, 1960). I would take issue with the statement that, short of good diabetic control, nothing further can be done to treat or prevent this complication with the possible exception of hypophysectomy.For the past 4 years, I have given much attention to this problem for a number of patients having diabetic retinopathy both with and without active retinal bleeding. I am aware both of the wide variations in the natural course of this disorder (particularly with reference to the rate of resorption of intraocular bleeding) and of the justifiable skepticism directed at any therapeutic approach. However, I have found the following points helpful: 1. Rubbing of the eyes is strongly contraindicated. 2. Smoking is contraindicated. 3. Hypoglycemia must be prevented or minimized. Patients
Roberts HJ. Diabetic Retinopathy. JAMA. 1961;175(2):161. doi:10.1001/jama.1961.03040020087024
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