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September 1988

Dr Kushner's Unneeded Syndrome-Reply

Author Affiliations

Madison, Wis

Arch Ophthalmol. 1988;106(9):1162. doi:10.1001/archopht.1988.01060140322004

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In Reply.  —I agree with Dr Lubow that the medical world should be spared the "Kushner syndrome" for two reasons. Physicians describe diseases or syndromes; they do not invent them. I believe it is inappropriate and narcissistic to put a physician's name on a syndrome.More importantly, I agree that the causative relationship between the cataract surgery and the ocular muscle fibrosis in my patient is unproved. The normal laboratory results do not rule out endocrine ophthalmopathy. Nevertheless, my patient's symptoms, which began with tenderness and swelling of the lower lid, began immediately after her cataract surgery, not several weeks after surgery as suggested by Dr Lubow. Even if her problem was caused by endocrine ophthalmopathy, the chronology of events makes it difficult to ignore the possibility that the surgery precipitated her eye muscle problem.I share Dr Lubow's concern about adding yet another item to the growing list of

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