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Dr Kutner suggested the possibility of a study to be performed under usual rather than optimal clinical conditions. Since under ideal conditions the nonophthalmologists missed 50% of treatable eye disease, there is every reason to believe that under usual clinical conditions, the missed diagnosis rate would increase even more.We appreciate Dr Fier's comments.
Sussman EJ. Diagnosis of Diabetic Eye Disease-Reply. JAMA. 1982;248(22):2973. doi:10.1001/jama.1982.03330220019025
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