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Serge de Bustros, MD
Chicago, Ill

Arch Ophthalmol. 1991;109(8):1057.

	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 read with interest the letter and reply by Gass¹ and Trempe,² respectively, on the risk of developing a macular hole. In discussing vitrectomy for early stages of macular holes, Trempe states, "... this subject is in urgent need of a randomized study. Such a study would be greatly enhanced if Dr Gass were involved in its planning." I would like to remind Trempe and the readers of the ARCHIVES that such a study is under way, with Gass to serve as a consultant, as discussed in an editorial in the ARCHIVES.³ Contrary to some pervasive ideas, I believe that, at this time, there is no evidence whatsoever that vitreous surgery is beneficial in preventing macular holes. I encourage ophthalmologists to refer appropriate patients to participating centers, where study patients with symptomatic fellow eyes with stage 1 macular holes are randomized to undergo vitrectomy vs . . . [Full Text PDF of this Article]

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