eLetters

83 e-Letters

published between 1999 and 2002

  • Surgical approach to conjunctival carcinoma
    Dear Editor,

    The report of Mauriello et al. "Adenoid squamous carcinoma of the conjunctiva -- a clinicopathologic study of 14 cases" [1] has profoundly impressed us as plastic and reconstructive surgeons who encounter the problem of exenteration or enucleation. Facial plastic surgeons are most frequently asked to reconstruct the exenterated orbit, but also often meet the patient before surgery when the decision for exentera...

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  • Duration of alcohol exposure during laser subepithelial keratomileusis (LASEK)
    Dear Editor,

    We read with interest the excellent article by Shah et al. [1] The authors compared the outcomes of epithelial debridement for photorefractive keratectomy (PRK) with those of epithelial flap for PRK. They used 20% ethanol for 30 seconds and 45 seconds for the debridement and flap techniques, respectively. They observed that epithelial flap resulted in faster visual rehabilitation and reduced haze. We have ob...

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  • Posterior Canal Predominance in Bilateral Skew Deviation
    Dear Editor,

    We were excited to see the recent case report of Park et al regarding the 30 year old man with horizontal locked-in syndrome and disconjugate gaze.[1] We were intrigued by the description of his eye movements on attempted horizontal gaze, whereas "when the patient was asked to look to the right side, the right eye moved upward with intorsion, and at the same time, left eye moved downward and extorsion ... when...

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  • Re: Transpupillary thermotherapy in choroidal neovascularization

    Dear Editor

    We thank Dr Ergun and Dr Stur [1] for their interest in our paper and agree with their comments that it is not possible to directly compare a pilot study with the results of a randomized controlled study. We also pointed out in our conclusion that studies such as this one cannot prove efficacy of a treatment but only indicate fruitful areas of further research. We also pointed out that the angiographic fo...

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  • An "overtrained" ophthalmologist responds

    Editor,

    As one of the most "overtrained"(!) ophthalmologists in the UK at the present time, I was delighted and stimulated to read the excellent, erudite and witty Commentary by James Acheson in the recent edition of the British Journal of Ophthalmology 2001;85:383-384. I think that the issue that lies at the heart of the matter is, as Mr. Acheson himself puts it, "It all depends on what you mean by training ....

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  • Response to a reduced logMAR chart for clinical practice

    A most outstanding research article that merits full praise to all of the authers.One of the best and furthermore the most useful article that I have read in a very long time.

  • Comments: A new colour vision arrangement test
    Dear Editor,

    I refer to the interesting article by Maar et al [1] published in Br J Ophthalmol 2001; 85: 47-51. The authors should be congratulated for presenting a new method of screening for diabetic macular oedema, however the paper contains some statistical errors, and I believe the results can be interpreted in other ways.

    Firstly, there are some internal inconsistencies with some of the results reported in the...

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  • Further pathophysiological insights into age-related macular degeneration
    Dear Editor

    We read with great interest the excellent Editorial by Ciulla [1] which describes pathophysiological paradigms for age related macular degeneration (ARMD) and the development of choroidal neovascular membranes (CNVM). We were particularly pleased to note that Ciulla [1] considered that 'whatever the initial stimulus for CNVM formation, it is clear that angiogenic growth factors are ultimately involved.' Furtherm...

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  • IOL implantation with ACM
    Dear Editor,

    I have two points to make about this article:

    1. Adhesion to the capsule works even during implantation of IOLs. As the acrylate material IOLs seem to have a higher adhesion tendency they require a lubricant viscoelastic material during rotation and positioning. This is why it is more difficult to rotate an acrylate IOL while using an AC maintainer and no viscoelastics. Silicone and PMMA IOLs do not...

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  • Re: Amblyopia: is visual loss permanent?
    Dear Editor,

    The paper by El Mallah, et al. [1], reporting visual recovery in the amblyopes after visual loss in the non-amblyopic eye brings new evidence for visual system plasticity extending beyond what was considered the critical period. Our observation of two patients presented below further supports it and suggests plasticity may be pharmacologically enhanced.

    A 22-year-old woman with strabismic amblyopia...

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