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May 1972


Arch Ophthalmol. 1972;87(5):594. doi:10.1001/archopht.1972.01000020596020

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To the Editor.  —I write concerning the article "Aphakic Flat Anterior Chamber: Treatment by Anterior Vitriotomy" (Arch Ophthal86:506-516, 1971).Drs. Cotlier and Herman have performed a service by presenting this paper concerning a group of patients with "aphakic eyes with pupillary-block and flat AC not relieved by iridectomy (FAC-NI)." There is, however, a small area of ambiguity within the paper which requires clarification. Several times within the paper and also in Table 10 the authors state that the mechanism of the FAC-NI syndrome is pupillary-block. Since, almost by definition, pupillary-block is interrupted or circumvented by adequate iridectomy, it would seem that pupillary-block is not an important factor in the mechanism of this syndrome; ie, (1) that either pupillary-block is not present at all, or (2) that pupillary-block is present in addition to other more important pathogenetic factors which do not respond to iridectomy. Since treatment by iridectomy is

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