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August 1976

In Defense of General Ophthalmology

Author Affiliations

New Haven, Conn

Arch Ophthalmol. 1976;94(8):1422. doi:10.1001/archopht.1976.03910040290027

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To the Editor.  —The "dialogue" concerning neuro-ophthalmology and medical ophthalmology in the Archives (94:393,1976) has stirred me to write to you. I believe that a few comments are in order from practitioners of "general" ophthalmology.The reason I selected ophthalmology as my specialty 20 years ago was because it was a field that combined the intelligence and crossword puzzle solving of medicine with the satisfaction of working with one's hands in surgery. I have never regretted my choice. I agree with Dr Cogan that an understanding of neuro-ophthalmology requires one to understand medical ophthalmology and that an interest in one serves to stir an interest in the other. As I sit here dictating this letter, I can think of the past month of a busy practice in which I have seen a 4-year-old with ciliary muscle and iris paralysis of one eye, probably induced by an attack of varicella,

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