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To the Editor.
—The authors thank Dr. Dellaporta for his interest and comments on the report "Surgical Repair of Retinal Detachments Caused by Macular Holes." There is a rich historical background regarding the management of this problem, as there is in so many aspects of ophthalmic surgery. Dr. Dellaporta's comments indicate the interest that this subject has had in the past.We are pleased to note that Dr. Dellaporta's experience supports our own in that simple diathermy is sufficient to produce sealing of the hole and permanent reattachment.Dr. Dellaporta commented specifically on the reduced vision postoperatively in all patients reported in our article. The patients selected for this report were those in whom a central macular hole was present, and in whom the entire posterior polar region was involved by the detachment. It was our point of view that the central defect had completely destroyed foveal function; further
Howard GM, Campbell CJ. MASCULAR HOLES. Arch Ophthalmol. 1969;82(4):572–573. doi:10.1001/archopht.1969.00990020574026
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