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December 10, 1982

Management of Diabetic Retinopathy-Reply

Author Affiliations

University of Miami School of Medicine

JAMA. 1982;248(22):2970-2971. doi:10.1001/jama.1982.03330220016014

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In Reply.—  Dr Hagan is concerned about my use of the word retinalspecialist rather than ophthalmologist in my editorial. He quotes an earlier paragraph in which he puts emphasis on the word ophthalmologist. The intended emphasis of that sentence is "experienced in the evaluation and treatment of diabetic retinopathy." My bias is that such treatment is best performed by a retinal specialist. Thus, the word ideally initiates the sentence in question. Retinal specialists should be able to identify glaucoma and cataracts as well.Although retinal specialists may be ideal, all communities may not have ready access to them. Thus, in this circumstance, experienced general ophthalmologists would be appropriate. A further point is that primary care physicians should not assume that their casual funduscopic examination is adequate in the evaluation of diabetic patients.