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July 1982

Traumatic Retinal Dialyses-Reply

Author Affiliations

Vancouver, British Columbia

Arch Ophthalmol. 1982;100(7):1178. doi:10.1001/archopht.1982.01030040156032

In Reply.  —In response to the letter of Drs Landers and Ehrenberg, I would like to make the following comments.In my series of dialyses, 36 cases involved the inferotemporal quadrant. In 21 of these patients, there was a positive trauma history, and eight showed at least one objective sign of injury, ie, avulsion of the vitreous base, tears in the pars plana epithelium, or angle recession. An additional four patients showed at least one of these objective signs, despite a negative trauma history. In the remaining 11 patients, who had a negative history of trauma and no objective evidence of injury, I believe forgotten trauma or trauma denied for social reasons was a more plausible cause of the inferotemporal dialyses than a genetic weakness of the inferotemporal retina. To rule out a genetic or inherited weakness, I examined family members of these 11 patients. Of a total of 42

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