Sir.—I wish to comment on the article by Dr Colgan on her patient with spina bifida (Journal 1981;135:854-858). I am very glad she emphasized the pediatrician's role in coordinating the care of these children. However, I believe that she did not cover a major part of their care. Up to half of these children suffer strabismus, and the vast majority have different types of ophthalmologic abnormalities. A pediatric ophthalmologist should help care for these children. In my ophthalmology residency training, I helped treat children with spina bifida at the Georgetown Spinal Dysplasia Interdisciplinary Clinic, Washington, DC. We ophthalmologists have something to offer, as shown by several recent articles in the ophthalmology literature that emphasized the high incidence of eye problems in these children.