|LETTER TO THE EDITOR
|Year : 2008 | Volume
| Issue : 3 | Page : 257-258
Fatih Horozoglu, Ates Yanyali, Erkan Celik, Banu Aytug, Ahmet F Nohutcu
Department of Ophthalmology, Haydarpasa Numune Education and Research Hospital, Istanbul, Turkey
|Date of Web Publication||22-Apr-2008|
Topagac sok. Akarsu Apt., No. 3/13 Caddebostan/Istanbul
Source of Support: None, Conflict of Interest: None
|How to cite this article:|
Horozoglu F, Yanyali A, Celik E, Aytug B, Nohutcu AF. Author's reply. Indian J Ophthalmol 2008;56:257-8
We thank Dubey et al .,  for taking interest in our article.  Following are the point-by-point answers to the queries raised by them.
- 'Duration of macular detachment', which is the time period between the visual impairment and the surgery was recorded subjectively. Since it is well known that the shorter the time of visual impairment, the better the visual improvement after surgery, we did not look for a correlation between the duration of macular detachment and the post-operative visual gain.
- PFCL was injected to remove the subretinal fluid from the anterior break(s) without performing a posterior retinotomy which is usually required during fluid-air exchange for retinal detachment. In addition to a complete flattening of the retina, PFCL also stabilizes the retina during the peripheral vitreous removal and prevents iatrogenic breaks. We perform endolaser under air with a contact wide-angle viewing system which gives a good visualization of the retina up to the ora serrata without scleral indentation.
- In our study, 46.6% of eyes had more than one break and 40% of eyes had inferiorly located breaks. We effectively treated inferior breaks by removal of the vitreous which exerts traction on the break, combined with gas injection and post-operative prone position.
- Air can pass to the anterior chamber not only through a posterior capsular defect, but also the through zonular dialysis. Filling the anterior chamber with a viscoelastic solution avoids air passage to the anterior chamber in both situations. In our study, 40% of eyes had posterior capsule rupture and sulcus-fixated IOL implantation. We filled the anterior chamber with a viscoelastic solution (amount not measured) and we did not observe any air passage to the anterior chamber. We did not also observe any complications related to the viscoelastic left in the anterior chamber.
- In pseudophakic retinal detachment, we apply endolaser photocoagulation around the retinal break(s) and to the 360° peripheral retina, and we routinely keep the patients in prone position for multiple breaks, inferior breaks and also for any missed retinal breaks which are not detected during the surgery. None of the inferior breaks required a scleral buckle in our study.
| References|| |
Dubey AK, Dubey B. Primary 25-guage transconjunctival sutureless vitrectomy in pseudophakic retinal detachment. Indian J Ophthalmol 2008;56:250-1.
Horozoglu F, Yanyali A, Celik E, Aytug B, Nohutcu AF. Primary 25- guage transconjunctival sutureless vitrectomy in pseudophakic retinal detachment. Indian J Ophthalmol 2007;55:337-40.