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November 1982

Postcataract Extraction Ischemic Optic Neuropathy

Arch Ophthalmol. 1982;100(11):1853-1854. doi:10.1001/archopht.1982.01030040833027

To the Editor.  —I am replying to the letter by Serrano et al, which was published in the July Archives (1982;100:1177-1178), reporting one case of postcataract extraction ischemic optic neuropathy. The primary objective of the letter is to indicate that the conclusions in my article published on this subject1 were unjustified.A single case report usually has little scientific validity in the understanding of a disease pattern or its pathogenesis. Critical review of the case reported by Serrano et al clearly discloses much evidence that actually supports my conclusions.In their case report, Serrano et al provided the following information about their patient's right eye. On the sixth postoperative day, the intraocular pressure was elevated to 38 mm Hg with pain in the eye and development of "a veil over [the patient's] right eye"; however, there was inadequate fundus examination with no visual field recording. They stated: "His optic