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April 1990

Sodium Hyaluronate and Giant Retinal Tears-Reply

Author Affiliations

Wyndmoor, Pa

Arch Ophthalmol. 1990;108(4):480. doi:10.1001/archopht.1990.01070060026011

In Reply.  —We take note of the letter by Lavin and Leaver and appreciate the forum to present a rebuttal. Our article simply describes an alternative technique that can be considered for the repair of GRTs of 180° or greater with extreme folding of the retina.We do not deny that other authors have demonstrated impressive results concerning the surgical repair of GRTs and specifically stated so in our study. Had prior success rates been 100% and the vision good in all eyes, we would not have considered reporting our technique. Nevertheless, this was not the case.Several points should be clarified. It has been our experience that the retina can remain severely folded, even when epiretinal membrane formation is not present and a complete vitrectomy has been performed. Unfolding the retina, and keeping it unfolded, are among the chief obstacles to successful giant tear repair. We agree with Lavin

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