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February 1979

Whiplash Injury as One Cause of the Foveolar Splinter and Macular Wisps

Arch Ophthalmol. 1979;97(2):360. doi:10.1001/archopht.1979.01020010196028

To the Editor.  —After five years of silence on this subject in medical literature, I read with delight the confirmation (Archives 96:834-835, 1978) of my observations1-5 of the subtle foveal and prefoveal vitreal disturbances produced by a detaching posterior hyaloid membrane from the macula. However, I should like to correct the statement that in my series of cases1 all but one had direct damage to the eye or orbit. In cases 2, 3, and 5 of the report1 the lesions were observed after cranial, not orbital, concussion. Also, the lesions termed by me "the foveolar splinter and macular wisps" and designated by the authors as "microoperculum" and "heaping up of tissue near the fixation point" were observed by me in nontraumatic ocular conditions: presenile and senile spontaneous posterior vitreous separation from the macula, and following posterior uveitis,2 retinitis pigmentosa, juvenile macular degeneration, foveomacular retinitis, and spontaneous absorption

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