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January 1984

Macular Degeneration-Reply

Arch Ophthalmol. 1984;102(1):22-23. doi:10.1001/archopht.1984.01040030010006

In Reply.  —We selected patients who had either clear media or, at most, minimal yellowing of the lens nucleus and/or small white, peripheral cortical opacities, none of which obscured clear visibility of the macula. Of the 29 eyes, 18 had a wet type of macular degeneration based on subretinal and/or subpigment neovascularization evident on fluorescein angiography with varying amounts of retinal edema, hemorrhage, exudate, and/or a fibrotic macular scar. Eleven eyes showed none of the above but did manifest macular drusen, which was associated with an atrophic macular lesion in ten eyes.Our article did not mention the presence of macular cysts, holes, or cystoid macular edema because none was present in any of our cases. We also did not refer to the term geographic atrophy, as we consider this a descriptive as much as a diagnostic term. Had we studied patients with a localized, atrophic, circumscribed, macular lesion not

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