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Sohan Singh Hayreh, MD, PhD, FRCS
Iowa City

Arch Ophthalmol. 1982;100(11):1853-1854.

	Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings.

To the Editor.

—I am replying to the letter by Serrano et al, which was published in the July ARCHIVES (1982;100:1177-1178), reporting one case of postcataract extraction ischemic optic neuropathy. The primary objective of the letter is to indicate that the conclusions in my article published on this subject¹ were unjustified.

A single case report usually has little scientific validity in the understanding of a disease pattern or its pathogenesis. Critical review of the case reported by Serrano et al clearly discloses much evidence that actually supports my conclusions.

In their case report, Serrano et al provided the following information about their patient's right eye. On the sixth postoperative day, the intraocular pressure was elevated to 38 mm Hg with pain in the eye and development of "a veil over [the patient's] right eye"; however, there was inadequate fundus examination with no visual field recording. They stated: "His optic . . . [Full Text PDF of this Article]

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