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May 1971


Arch Ophthalmol. 1971;85(5):637. doi:10.1001/archopht.1971.00990050639021

To the Editor.  —The article entitled "Giant Retinal Dialysis and Tear" by Rufus O. Howard and Douglas E. Gaasterland (84:312-315, 1970) interested me a great deal.I agree with the authors' statement that a vitreous examination should be done preoperatively when a direct surgical attack on the vitreous is contemplated. However, two of their comments puzzle me. First, they state that the vitreous examination may be done with "indirect ophthalmoscope and/or slit-lamp examination with a Goldmann three mirror lens." After 20 years of experience using indirect ophthalmoscopy, I am not convinced that an effective evaluation of the vitreous is possible by indirect ophthalmoscopy. On the other hand, fundus study by indirect ophthalmoscopy, followed by examination of the vitreous by slit lamp and Goldmann contact lens is the best method for proper understanding of vitreous changes.Second, in their comment they state that the "basis of our approach" stems from

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