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Ralph C. Eagle Jr, MD; Hans E. Grossniklaus, MD; Nasreen A. Syed, MD; R. Nick Hogan, MD, PhD; William C. Lloyd III, MD; Robert Folberg, MD

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We thank the authors for their comments and interest in our article.¹ This issue is not new. Commenting on evisceration more than 40 years ago, Wendell Hughes, MD, stated, "The possibility of the development of sympathetic ophthalmia has been a deterrent to the general acceptance of this procedure, in addition to the remote possibility of missing the diagnosis of an intraocular malignancy in a degenerated globe."²

We concur that evisceration is a highly successful and safe alternative to enucleation in most instances. Ophthalmic pathologists admittedly have a unique perspective of ophthalmic practice. One of the corresponding author's colleagues frequently reminds him that he "only sees the cases with complications, or the procedures that don't work." On the other hand, we have a . . . [Full Text of this Article]

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