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In Reply.—We appreciate the opportunity to clarify the point raised by Dr Bralliar. We certainly do not mean to suggest palpation of the eyeball in cases where there is any evidence of globe rupture. Similarly, we do not advocate "tactile tensions," ie, ballotment of the globe between two fingers as an estimate of intraocular pressure. Rather, we suggest gentle translid pressure to see if the eye indents easily or is "soft" prior to Schiotz tonometry, and only in the absence of other evidence of globe rupture. If the globe is soft or if there is any other evidence of globe rupture, ophthalmologic evaluation should be obtained.
ARTS HA, DUCKERT LG. Ocular Injury and Orbital Fractures-Reply. Arch Otolaryngol Head Neck Surg. 1989;115(8):994. doi:10.1001/archotol.1989.01860320104030
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