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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
Weiss DI. APHAKIC FLAT ANTERIOR CHAMBER. Arch Ophthalmol. 1972;87(5):594. doi:10.1001/archopht.1972.01000020596020
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