eLetters

587 e-Letters

  • Treatment of Fungal Keratitis by Penetrating Keratoplasty
    Anita Panda
    Dear Editor

    I commend Xie et al for their paper on the treatment of fungal keratitis by penetrating keratoplasty [1]. Though the subject is increasingly brought to the notice of the ophthalmic community, it requires more emphasis. This is not a unique problem for China but a major problem for many developing and underdeveloped countries.

    In response to this article, a number of questions are raised. Wheth...

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  • A re-analysis of astigmatism correction
    Noel Alpins
    Dear Editor

    In a recent "Perspective" article by Morlet et al titled "Astigmatism and the analysis of its surgical correction" [1] there are a number of omissions and fundamental errors of content that lead to erroneous conclusions. These significant inaccuracies overlooked in the review process compromise the article's broad contribution.

    In Dr Morlet's attempt to detail "the use and limitations of vector...

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  • Re: Amniotic membrane transplantation and conjunctival malignant melanoma
    Dion A Paridaens
    Dear Editor

    We would like to thank Dr Panda for the comments on our paper. We agree that amniotic membrane grafts yield excellent results in various ocular surface defects, without donor site morbidity.

    We also agree that frozen section control of excised tissue might prevent incomplete removal of a malignant conjunctival melanoma. Although we were able to totally excise this tumour in our four reported cases, we wil...

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  • Re: Amniotic membrane transplantation in acute ocular burns
    Harminder S Dua

    Dear Editor

    We are grateful to Dr Anita Panda and colleagues for supporting our work and comments made in the above article (Panda A eletter BJO 21st December 2001.

    A new classification to include all the variables expanded on by ourselves and by Panda A et al in the eletter is indeed essential and has been proposed by us and published in the British Journal of Ophthalmology[1]. It is very important t...

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  • Amniotic membrane transplantation and conjunctival malignant melanoma
    Anita Panda
    Dear Editor,

    We read with interest the article titled "Amniotic membrane transplantation in the management of conjunctival malignant melanoma and primary acquired melanosis with atypia" by Paridaens D et al[1] and compliment the authors for bringing the important upcoming issue of Amniotic membrane transplantation (AMT) to the limelight.

    The authors described the favourable outcome of AMT for the reconstruction of su...

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  • Pupillary autonomic denervation with increasing duration of diabetes mellitus
    Daniel Pittasch
    Dear Editor,

    Recently, Cahill et al.[1] published a paper on pupillary autonomic denervation in diabetic patients. In our own recent study we can confirm the presence of a small dark-adapted pupil size (DAP) before cardiovascular autonomic dysfunction is detected in patients with type-1 diabetes mellitus[2]. We believe that this is an important observation, since autonomic alterations may cause an increase in mortality as...

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  • Keratectasia after PTK
    Simon J Dean
    Dear Editor,

    Miyata and colleagues have elegantly described an interesting and rare complication of phototherapeutic keratectomy (PTK) in their recent report of an unusual case of keratectasia after PTK. The hypothesis that risk of ectasia is proportional to residual stromal base, or depth of ablation, fits with the assumed biomechanical aetiology of this recently reported complication of laser refractive surgery. The gene...

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  • About a series of xeroderma pigmentosum in nothern Nigeria
    Michel Moussala
    Dear Editor,

    This series is certainly the largest ever reported in west Africa [1]. However, it is worth noting that Xeroderma Pigmentosum (XP) has already been described in two Mauritanian half cousins in France [2]. Two isolated cases have been reported in Senegal and Cameroon, respectively [3,4]. The skin of black people, rich in melanin provides some protection from the oncogenic effects of ultraviolet rays. It is possib...

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  • Amniotic membrane transplantation in acute ocular burns
    Anita Panda
    Dear Editor

    We read with interest the article titled "Failure of amniotic membrane transplantation (AMT) in the treatment of acute ocular burns" by Joseph et al[1]. It is to be appreciated that they have come forward to report the negative results of their study along with the need of an upgraded classification for the chemical burn. The authors must be congratulated for highlighting the pitfalls of the AMT in acute cases w...

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  • Association of latanoprost with recurrent herpes simplex dendritic keratitis
    Dear Editor,

    I read with interest the article by Ekatomatis [1] on latanoprost treatment for primary open angle glaucoma causing herpes simplex dendritic keratitis. He should be applauded for reporting a serious side effect of latanoprost. His assertion however that latanoprost has been known to have almost no serious side effects is not entirely accurate. In fact, Wand et al [2] reported three patients who developed herp...

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