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Risk of Developing Macular Hole-Reply

Risk of Developing Macular Hole-Reply This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —I thank Dr Gass for helping to clarify the three important biomicroscopic criteria essential for diagnosing impending macular hole formation and also for stressing the difficulty in making the diagnosis in the initially involved eyes.I agree that eyes with separation of the vitreous from the foveal retina are at very low risk of hole formation. Those eyes were included in the study to demonstrate that, indeed, they are at low risk of developing a macular hole. The definition of impending macular hole that I used in this article is the one commonly used by vitreoretinal surgeons. (My own definition agrees with that of Gass.) My hope was to convince vitreoretinal surgeons of the importance of the vitreous examination and to point out that a significant number of so-called impending holes do well without surgery.To my knowledge, the important points that Dr Gass makes have not been http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Risk of Developing Macular Hole-Reply

Archives of Ophthalmology , Volume 109 (5) – May 1, 1991

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Publisher
American Medical Association
Copyright
Copyright © 1991 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1991.01080050016004
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract In Reply. —I thank Dr Gass for helping to clarify the three important biomicroscopic criteria essential for diagnosing impending macular hole formation and also for stressing the difficulty in making the diagnosis in the initially involved eyes.I agree that eyes with separation of the vitreous from the foveal retina are at very low risk of hole formation. Those eyes were included in the study to demonstrate that, indeed, they are at low risk of developing a macular hole. The definition of impending macular hole that I used in this article is the one commonly used by vitreoretinal surgeons. (My own definition agrees with that of Gass.) My hope was to convince vitreoretinal surgeons of the importance of the vitreous examination and to point out that a significant number of so-called impending holes do well without surgery.To my knowledge, the important points that Dr Gass makes have not been

Journal

Archives of OphthalmologyAmerican Medical Association

Published: May 1, 1991

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