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December 10, 1982

Management of Diabetic Retinopathy

Author Affiliations

North Kansas City. Mo

JAMA. 1982;248(22):2970. doi:10.1001/jama.1982.03330220016013

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To the Editor.—  The importance of diabetics having their eyes examined regularly by ophthalmologists as well as the difficulty of determining the presence of proliferative retinopathy, especially by nonophthalmologists, is properly emphasized by Sussman et al (1982;247:3231) and in the accompanying editorial by Skyler (1982; 247:3246). However, Dr Skyler's final recommendation that patients with suspected or proved proliferative diabetic retinopathy should be referred to a "retinal specialist" is not supported or recommended in the original article and is so much at variance with the first part of his own editorial that I wonder if the word retinal specialist was not mistakenly inserted for the more appropriate word ophthalmologist.Sussman et al clearly stated that because of the small number of physicians in their study, they did not focus on the diagnostic abilities of any single group. They stated their primary purpose was not to compare ophthalmologists in general with retinal