We appreciate Dr Abramson's interest in and comments on our article.1 Dr Abramson raised 2 concerns about it. His first
concern was about the use of sutures to retract the globe anteriorly in our
simulation. He has grave doubts about this technique because of cases he has
seen in which the globe was inadvertently perforated during the placement
of rectus muscle sutures. We agree with Dr Abramson that our article's conclusion
should not promote the routine use of muscle sutures during enucleation for
retinoblastoma. However, our study was not designed to analyze the safest
means for retracting the globe during enucleation. We used sutures to retract
the globe anteriorly because it best facilitated our experimental model.
Coats DK, Paysse EA. A Potentially Life-Threatening Adverse Reaction to Verteporfin. Arch Ophthalmol. 2001;119(1):144. doi:
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