eLetters

147 e-Letters

published between 2000 and 2003

  • Author's reply
    Avni M Avunduk

    Dear Editor

    Thanks to Dr Fan and coworkers for their letter and interests in our article.[1]

    The conclusion drawn by us was that confocal microscopy was a rapid and sensitive diagnostic tool for both early diagnosis and non-invasive follow -up of fungal keratitis, not that it was a superior to culture and corneal biopsy staining techniques in the early stage of fungal keratitis. It is rapid compared to cultu...

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  • Phacoemulsification for beginners made easy
    Prashanth Sadasivam

    Dear Editor

    We read with great interest the article by G Prakash et al.[1]

    We are trained as residents to overcome this problem by using simcoe cannula and performing manual irrigation and aspiration through the sideport for removal of subincisional cortex easily even in the presence of a small rhexis. We have found this to be a much safer technique than other methods such as using a J shaped cannula o...

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  • Much Ado About Periocular Corticosteroids
    Vasumathy Vedantham

    Dear Editor

    I thank Dr Okada et al for replying to my letter to the editor regarding their article "Trans-Tenon's retrobulbar triamcinolone infusion for the treatment of uveitis".[1] While speculating that the cause of the lack of therapeutic response to sub-tenon’s corticosteroids may be because of placement at a site relatively far from the target zone, I had quoted only the article by Freeman et al...

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  • Macular infarction after intravitreal amikacin
    Bernard H. Doft, MD

    Dear Editor

    We write in reference to the letter by Galloway et al. "Macular infarction after intravitreal amikacin: Mounting evidence against amikacin".[1]

    The authors report a single case of macular infarction in a patient who had been given intravitreal amikacin for endophthalmitis. They cite that single case plus some prior literature as reason to support a change in the choice of antibiotic fo...

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  • Childhood blindness burden
    Vasumathy Vedantham

    Dear Editor

    I read with great interest the article by Sitorus et al.[1] on the causes of blindness at a blind school in Indonesia. I would like to supplement and clarify certain points mentioned in the article.

    It was sobering to note that Indonesia has the highest rate of blindness (1.5%) among the Asian countries, much more than India (0.7%). Incidentally, the similarities with the Indian scenario...

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  • Charles Bonnet syndrome following ophthalmic laser procedures
    Colin SH Tan

    Dear Editor

    We read with interest Cohen and associates’ report on the onset of Charles Bonnet syndrome (CBS) following photodynamic therapy (PDT) for choroidal neovascularization (CNV).[1] An earlier study reported that 16.6% of patients developed CBS following macular photocoagulation for CNV.[2] Holroyd and co-workers reported a patient with sudden onset of visual hallucinations after laser treatment, which cease...

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  • Comments on Confocal Microscopy of Aspergillus Fumigatus Keratitis
    Dorothy S.P. Fan

    Dear Editor

    We read with great interest the article of Avunduk and coworkers,[1] who conducted a study in using confocal microscopy to evaluate Aspergillus fumigatus keratitis in treated and untreated rabbits eyes. They concluded that "confocal microscopy is a rapid and sensitive diagnostic tool for both the early diagnosis and non-invasive follow-up of fungal keratitis". In order to justify the statement, two i...

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  • Trans-Tenon's retrobulbar triamcinolone infusions in uveitis
    Annabelle A Okada

    Dear Editor

    We appreciate the interest and many comments we have received regarding our recent article on "Trans-Tenon's retrobulbar triamcinolone infusion for the treatment of uveitis."[1]

    In reply to the comments by Dr Vedantham, we acknowledge the paucity of experimental data to actually prove that accurate placement of corticosteroids into the sub-Tenon's space provides good drug penetration into the ey...

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  • Is the danger more than that of asthma?
    Sunil R Moreker

    Dear Editor

    Asthma is a potentially life threatening condition with an ever increasing morbidity and mortality internationally, the prevalence of asthma having increased approximately 50% over the last ten to 15 years. Death rates are proportional to the usage of anti-inflammatory medications effectively.According to the asthma audit in UK too incidence measured was 3 to 4 times higher in adults and 6 times higher in...

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  • Charles Bonnet Syndrome - Author reply
    Robert L. Tomsak MD, PhD

    Dear Editor

    I thank Dr Rahman and his colleagues for their comments.

    1. Clinically and historically Charles Bonnet Syndrome (CBS) is indeed a disorder of the elderly, in spite of rare reports of the syndrome in young patients.

    2. Space constraints imposed by editorial considerations prevented us from discussing the nuances of CBS in detail. But, we state quite clearly in the first sentence...

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