In a recent issue of the ARCHIVES, Dr Coats and collaborators published
a mock enucleation model that brought objective data to the surgical technique
of enucleation.1 Their research was founded
on the principles that enucleation remains an important treatment in selected
cases of retinoblastoma and that resecting a long optic nerve specimen at
enucleation influences clinical outcome. Although the authors appropriately
critiqued their study's methodology, they evaded the question of its contemporary
clinical relevance.