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To the Editor: I have read with much interest Dr. Fick's article in the May, 1964, issue of the Archives of Otolaryngology. The formation of a sheer membrane as described in Meniere's disease reminds me of the sclerocorneal trephine for glaucoma of the eye. In this procedure the trephine hole is covered by a conjunctival flap beneath which the aqueous humor is allowed to leak.
It would be interesting for Dr. Fick to supplement his study with pre- and postoperative electronystagmographic records. The case in which he observed the lateral wall of the saccule distended against the footplate when he made a large fenestra is, I believe, the first clinical observation of the basic pathology of Meniere's disease.
In connection with the racial incidence of Meniere's disease, we see fewer cases in India than I saw during my residency in the USA and England in 1954 to 1957. The better