721 e-Letters

  • Endoscopic suturing of flaps in endonasal DCR with stenting further improves results
    Sunil R Moreker

    Endoscopic suturing of lacrimal sac flap to the nasal mucosa flap in Dacryocystorhinostomy ( DCR) was described by us as early as 2004 and a video of the procedure was published in textbook of oculoplasty (1) The audits done showed that the short term results were excellent and the only concern was the time taken to do the surgery. Three years later another paper described excellent results with suturing of the flaps an...

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  • Swimming goggles and elevated intraocular pressure
    Nathan M Radcliffe

    We would like to congratulate Drs Morgan and colleagues on their recent paper “Wearing swimming goggles can elevate intraocular pressure.” We performed a similar study and presented our data at the Association for Research in Vision and Ophthalmology in 2007. Our findings demonstrated that in healthy participants, IOP measurements taken during goggle wear were significantly higher at both one and five minutes, with an av...

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  • Indirect ophthalmoscope , will it get replaced by smart phones in some settings?- Serial video recording of retinal conditions in ICCU setting with indirect ophthalmoscopy with inexpensive smart phones
    Sunil Moreker

    Indirect ophthalmoscopy has advanced since its inception. We now recognize the importance of video imaging of the retina. Authors deviced various slit lamp adaptors to capture retinal image(1) Many authors have used smartphones coupled with indirect ophthalmoscopy and some even identified an iPhone application that can control the flash and reduce the intensity to levels that do not damage the retina.(2,3,4,5)


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  • Video glass based vision testing for Home / School vision testing may make testing complete
    Sunil Moreker

    Vision testing is a very tedious process. If a complete testing including contrast testing,colour testing,amsler test,glare test,speed of reading and other tests are undertaken it may take a lot of time.It is a reality that even today visual acuity testing alone is the deciding factor for undertaking cataract surgery. It has been noted by some authors that lack of government-funded routine eye examinations is associated w...

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  • Clinical features and treatment outcome of canaliculitis associated with the use of Smartplug
    Yu-Yun Huang

    Dear Editor; We read with great interest the article entitled "Prevalence of canaliculitis after smartplug insertion during long-term follow-up" by Klein-Theyer et al.(1) I would like to contribute to the article with our clinical expeience.

    Among 11 cases of canaliculitis after lacrimal plug insertion between 2007 and 2013 in a tertiary medical center, seven cases (64%) were noted to be associated with the us...

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  • Is larger endothelial graft size appropriate for Fuchs endothelial dystrophy?
    Patrick J Chiam

    We read with interest the results reported by Romano et al. The authors speculated the reason for lower endothelial failure in larger grafts (9.5mm) compared to smaller ones is due to the additional endothelial cells being transplanted.

    It has been reported that the host peripheral endothelium in Fuchs endothelial dystrophy (FED) has some capacity towards restoring corneal deturgescence in denuded posterior st...

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    Prachi A. Dave

    We Read with great interest the article Topical bromfenac reduces the frequency of intravitreal bevacizumab in patients with branch retinal vein occlusion by Masahiko Shimura et al.(1) We congratulate the authors for the concept and well conducted pilot study . Repeated intravitreal injections are known to have various complications(2) and it would be safer if noninvasive intervention like topical bromfenac can help to red...

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  • Ketorolac does prevent retinal thickening and CME in routine cataract surgery
    John R. Wittpenn

    Your study actually confirms the data that we reported in the lead article of the AJO in October 2008 showing the benefit of ketorolac in preventing CME and retinal thickening after routine cataract surgery. To demonstrate statistical significance for CME, it requires a sample size of close to 400 patients per group. Your data clearly shows a trend to decreased retinal thickening when a NSAID is used in conjunction with...

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  • Time to embrace technical advances in the assessment of patients with corneal neovascularisation
    Vito Romano

    Dear Editor,

    We read with interest the article by Faraj et al1 proposing the clinical characterization of corneal neovascularization (CoNV) based entirely on slit lamp biomicroscopy and color photography. The authors provide a useful reminder of many issues previously discussed addressed in the 1970s.2 Their aim was to provide a nomenclature and a standardized system for grading and characterising CoNV. We have...

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  • Topical non-steroidal anti-inflammatory drugs to prevent cystoid macular oedema after cataract extraction: Are they effective?
    Andres B. Alberto

    We have read with interest the paper by Tzelikis et al. entitled: "Comparison of ketorolac 0.4% and nepafenac 0.1% for the prevention of cystoid macular oedema after phacoemulsification: prospective placebo- controlled randomised study" [Br J Ophthalmol 2015;99(5):654-658].

    In order to consider as statistically similar the effects of ketorolac 0.4%, 0.1% nepafenac and placebo, the authors really needed to have...

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