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Darren L. Hoover, MD; Joseph Giangiacomo, MD; Russell L. Benson, MD
Columbia, Mo

Arch Ophthalmol. 1985;103(10):1457.

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In Reply.

—We appreciate the interesting comments by Dr McAuliffe about our article. In his report, he properly notes that sodium hyaluronate may be useful in the treatment of a detached Descemet's membrane when a loose flap is present. Although Dr McAuliffe did not report preoperative and postoperative endothelial cell densities, we concur that his method of repair may cause less damage to the corneal endothelium and be equally effective as the standard method through interrupted 10-0 nylon sutures. His technique, however, would be inapplicable in cases such as ours in which there was no loose flap of Descemet's membrane. At the American Intraocular Implant Society meeting in April 1985, several cases similar to ours were presented, and an aggressive approach to the removal of sodium hyaluronate bleb was advocated by some authorities. We hope that our findings will persuade ophthalmic surgeons to take a conservative approach if confronted with . . . [Full Text PDF of this Article]

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