eLetters

600 e-Letters

  • "No-needle" sub-tenon's anesthesia
    Roger Gray
    Dear Editor

    We read with interest the letter from Amin et al [1], suggesting a modification of the sub-tenon local anaesthetic injection procedure. They advocate the use of a venflon needle to penetrate the conjunctiva, with subsequent advancement of the cannula prior to anaesthetic injection. We are concerned that the use of a sharp needle should be recommended so close to the eye. Amin et al point out that the needle ti...

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  • Management of Giant Cell Arteritis
    G Arunagiri
    Dear Editor

    I congratulate Riordan-Eva et al for the article on temporal artery biopsy in the management of giant cell arteritis with neuro-ophthalmic complications.[1] This is an excellent article for residents, ER physicians, Family Practice physicians and Ophthalmologists.

    The 3 cases discussed clearly show that patients over the age of 50 presenting with temporary or permanent visual loss or binocular dipl...

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  • Trachoma and recurrent trichiasis
    Hugh R Taylor
    Dear Editor

    It was with great interest that I read the recent article by Dr. al Arab and co-workers entitled "The Burden of Trachoma and the Royal Nile Delta of Egypt; the Survey of Menofiya Governerate".[1] This work clearly shows that endemic blinding trachoma continues to be a major health problem in this area of the Nile Delta, quite close to Cairo.

    My attention was particularly drawn to the high rate of recurren...

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  • 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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