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In Reply.
—We are glad to acknowledge Dr Daily's important contributions to this area of macular pathology. It was our intention to describe a small subgroup of patients that form a part of the larger group Dr Daily has described.Among all patients with foveal tufts, pits, and wisps are a small number whose symptoms and signs are temporally related to a whiplash injury. The foveal changes can certainly occur in a variety of other settings. Intentional ocular contusion would, in our experience, produce other associated ocular changes in most cases. Anterior chamber angle recession, choroidal rupture, or Berlin's edema would indicate direct trauma rather than flexion extension spinal injury.