eLetters

47 e-Letters

published between 2011 and 2014

  • Response to `Clinical factors associated with malignancy and HIV status in patients with ocular surface squamous neoplasia at Kililmanjaro Christian Medical Centre, Tanzania'
    Dr. Jinesh M. Shah

    Dear Author,

    We read your paper entitled `Clinical factors associated with malignancy and HIV status in patients with ocular surface squamous neoplasia at Kililmanjaro Christian Medical Centre, Tanzania' with much interest. It was an interesting insight into the characteristics of OSSN patients in sub-saharan Africa. However, we had some queries and we hope you can share your thoughts on them.

    Firstly...

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  • Re:Brimonidine induced uveitis: Extent of the problem?
    Josephine C Richards

    The authors thank the respondent for the observations and comments. Most of our patients were referred to us by other ophthalmologists. Unfortunately, as tertiary referral practitioners to the wider ophthalmic community (uveitis: JCR, glaucoma: WHM and DD) we have no way of knowing how many patients in our community are on brimonidine or how many cases of brimonidine induced uveitis may be seen by other consultants. We ag...

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  • Brimonidine induced uveitis: Extent of the problem?
    Khawaja K Shoaib

    Article "Brimonidine (Alphagan) associated anterior uveitis" by McKnight CM et al1 is informative. Cessation of brimonidine eye drops resulted in improvement of uveitis in five cases. This case series has produced further evidence that brimonidine may be responsible for uveitis/ raised IOP in some cases. However a critic may still argue the two events to be coincidental. Unfortunately we have only a few anti glaucoma drug...

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  • Re:Re:Efficacy of Silicone Punctal Plugs in Children
    Ken K Nischal

    We thank Dr Shoaib for his comments. In the results we clearly state 'The indication for insertion was based on the presence of ocular surface changes and poor tear film meniscus, with a previous unsuc- cessful management by lubrication and topical medication alone. Overall, 18 of the 25 patients had a concurrent systemic disorder (table 1).' Schirmer's test is , we believe , a poor test for dry eye in children. It often r...

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  • Re:Efficacy of Silicone Punctal Plugs in Children
    Ken K. Nischal

    We thank Drs Hanovar and Ali for their comments. The main impetus for publishing this data was to show that children are NOT prone to infections with this strategy. In fact while steroid injections were given in cases of severe corneal neovascularisation such as K.I.D. syndrome and ectodermal hypoplasia , the fact that no child got a canaliculitis or other infection even when steroids were used, re-affirms that infection i...

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  • Posterior Segment Eye Diseases: A Growing Problem.
    Andrew Bastawrous

    We welcome the latest estimates of global visual impairment (VI). (1) Posterior segment eye diseases (PSED): Glaucoma; Age-Related Macular Degeneration (ARMD); and Diabetic Retinopathy (DR) are now recognised as a major cause of VI worldwide and are more prevalent than infectious causes of VI such as trachoma and corneal ulcers. The majority of data collated in the last ten years from which these figures are estimated like...

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  • Re:Role of endothelial keretoplasty in penetrating keratoplasty graft rejection?
    Verinder S. Nirankari

    We thank Dr. Shoaib for his interest in our article.1 We agree that there are various causes of graft rejection and that performing an endothelial keratoplasty (EK) would not resolve the rejection. To clarify our wording for the article, patients who developed endothelial graft rejection with subsequent endothelial failure were offered EK under their penetrating keratoplasty (PK). The rejection episode was resolved at...

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  • Role of endothelial keretoplasty in penetrating keratoplasty graft rejection?
    Khawaja K Shoaib

    Article "Endothelial keratoplasty without Descemet's stripping in eyes with previous penetrating corneal transplants" by Nottage JM and Nirankari VS1, is very informative and the authors deserve appreciation for their wonderful work. However one point requires discussion. Authors mentioned that endothelial keratoplasty (EK) was done either for graft rejection (n = 9) or endothelial failure (n = 24). It seems logical to...

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  • CSR or TB?
    Khawaja K Shoaib

    The article "Oral rifampin utilisation for the treatment of chronic multifocal central serous retinopathy(CSR)"1 by Steinle NC et al is very informative. However a few points require further elaboration. We were told that patient is an African -American but for how long he stayed in Africa and how frequently he or any of his close family members visit any tuberculosis (TB) endemic area? As both CSR and ocular TB are poor...

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  • Re:Efficacy of Silicone Punctal Plugs in Children
    Khawaja K Shoaib

    A Mataftsi et al1 published an interesting article regarding punctal plugs in children. One of their aim was to establish the efficacy however they have not mentioned any test (Schirmer, Tear film break-up time, Rose Bengal staining, osmolarity) to confirm the diagnosis of dry eye and to calibrate the tear deficiency. It was only the clinical impression (flouresein staining is not specific for dry eyes and therefore cann...

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