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January 2001

A Potentially Life-Threatening Adverse Reaction to Verteporfin

Arch Ophthalmol. 2001;119(1):144. doi:

In reply

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.