You are here

Responses

Article menu

Download PDFPDF

Clinical science
Impact of surgical timing of postoperative ocular motility in orbital blowout fractures
Compose a Response to This Article
Compose Response

More information about text formats

Plain text

  • No HTML tags allowed.
  • Web page addresses and e-mail addresses turn into links automatically.
  • Lines and paragraphs break automatically.
Author Information
First or given name, e.g. 'Peter'.
Your last, or family, name, e.g. 'MacMoody'.
Your email address, e.g. higgs-boson@gmail.com
Your role and/or occupation, e.g. 'Orthopedic Surgeon'.
Your organization or institution (if applicable), e.g. 'Royal Free Hospital'.
Statement of Competing Interests

PLEASE NOTE:

  • A rapid response is a moderated but not peer reviewed online response to a published article in a BMJ journal; it will not receive a DOI and will not be indexed unless it is also republished as a Letter, Correspondence or as other content. Find out more about rapid responses.
  • We intend to post all responses which are approved by the Editor, within 14 days (BMJ Journals) or 24 hours (The BMJ), however timeframes cannot be guaranteed. Responses must comply with our requirements and should contribute substantially to the topic, but it is at our absolute discretion whether we publish a response, and we reserve the right to edit or remove responses before and after publication and also republish some or all in other BMJ publications, including third party local editions in other countries and languages
  • Our requirements are stated in our rapid response terms and conditions and must be read. These include ensuring that: i) you do not include any illustrative content including tables and graphs, ii) you do not include any information that includes specifics about any patients,iii) you do not include any original data, unless it has already been published in a peer reviewed journal and you have included a reference, iv) your response is lawful, not defamatory, original and accurate, v) you declare any competing interests, vi) you understand that your name and other personal details set out in our rapid response terms and conditions will be published with any responses we publish and vii) you understand that once a response is published, we may continue to publish your response and/or edit or remove it in the future.
  • By submitting this rapid response you are agreeing to our terms and conditions for rapid responses and understand that your personal data will be processed in accordance with those terms and our privacy notice.
CAPTCHA
This question is for testing whether or not you are a human visitor and to prevent automated spam submissions.

Vertical Tabs

Other responses

Jump to comment:

  • Published on: 23 February 2018
    Re: e Letter for bjophthalmol-2017-310312; Comments on article “Impact of Surgical Timing of Postoperative Ocular Motility in Orbital Blowout Fractures”

    Dr. Jost Jonas
    Editor-in-Chief

    British Journal of Ophthalmology

     

    Dear Dr. Jonas:

     

    With great interest, we read the e letter (E-Letter 1) submitted by Ankita Anil Patil, Srikanth Ramsubramanian, and Bipasha Mukherjee, entitled “Comments on article ‘Impact of surgical timing on postoperative ocular motility in orbital blowout fractures’” illustrating their analysis and opinions on our article that was recently published in the British Journal of Ophthalmology. Please know that we greatly appreciate the authors’ cogent and helpful comments.

     

    It should be noted that in our opinion, in order to normalize ocular motility, the most important aspect is to restore the orbital tissues for the appropriate location. It is quite well known that the transcaruncular approach is suitable for small fractures of the medial wall. Since the transcaruncular approach provides surgeons with only a narrow view, it is difficult to restore the orbital tissues for the appropriate location for a large depressed fracture. On the other hand, the Lynch incision provides a substantial advantage for the repair of an orbital fracture, as it allows for a wide view during surgery and makes it easy to restore the orbital tissues for the orbit and insert the reconstruction implant. In additi...

    Show More
    Conflict of Interest:
    None declared.
  • Published on: 23 February 2018
    Comments on article "Impact of surgical timing on postoperative ocular motility in orbital blowout fractures
    • Ankita Anil Patil, Paediatric ophthalmology fellow Sankara Nethralaya eye hospital,Chennai
    • Other Contributors:
      • Srikanth Ramasubramanian, Paediatric ophthalmologist
      • Bipasha Mukherjee, oculoplasty surgeon

    We have read the article”Impact of surgical timing of postoperative ocular motility in orbital blowout fractures” by Yukito Yamanaka, Akihide Watanabe, Chie Sotozono, Shigeru Kinoshita published in BJO on July 25 2017.The article discusses a new technique of Hess Area Ratio (HAR) and CT-scan findings for determining the appropriate time for surgery and predict the outcomes following orbital fracture repair.
    We want to congratulate the authors for this successful review article. We would like to comment on some points in the methodology and results of this article and make some contributions.The incisions described in the article have some shortcomings and are not currently the favoured approach. The Lynch incision described in the article has been the traditional approach for medial wall fractures but can result in severe scarring or webbing of the medial canthal skin ; therefore the transcaruncular approach is favoured.1 The subciliary incision too can cause ectropion and a transconjunctival approach is preferred.2 The number of patients mentioned in the results section who had poor improvement of HAR% differs being recorded as 22 earlier and then later in the article as 24.The diagnosis of tissue incarceration causing ocular motility disturbances after surgery is more related to various ocular motility tests rather than CT-SCAN findings alone.3 The authors have diagnosed muscle and tissue incarceration based solely on CT-SCAN findings and have not commented on t...

    Show More
    Conflict of Interest:
    None declared.