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LETTER TO THE EDITOR
Year : 2009  |  Volume : 57  |  Issue : 4  |  Page : 327

Authors' reply


Smt. Kanuri Santhamma Retina Vitreous Centre, LV Prasad Eye Institute, Hyderabad, India

Date of Web Publication30-Jun-2009

Correspondence Address:
Nazimul Hussain
Smt. Kanuri Santhamma Retina Vitreous Centre, L.V. Prasad Eye Institute, L.V. Prasad Marg, Banjara Hills, Hyderabad - 500 034, Andhra Pradesh
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.53070

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How to cite this article:
Hussain N, Jalali S, Rani A, Rawal H. Authors' reply. Indian J Ophthalmol 2009;57:327

How to cite this URL:
Hussain N, Jalali S, Rani A, Rawal H. Authors' reply. Indian J Ophthalmol [serial online] 2009 [cited 2020 Jun 1];57:327. Available from: http://www.ijo.in/text.asp?2009/57/4/327/53070

Sir,

We want to thank the reader [1] for taking keen interest in this case report which depicts the most adverse effect of ICG on retinal pigment epithelium (RPE) cells. [2]

We have clearly mentioned in the article that while fluid-air exchange was performed using silicone brush cannula, the macula flattened . This may also suggest that microhole was present in the foveal area which was also evident when ICG migrated subretinally. Hence, a retinotomy was not created. We used silicone brush or silicone-tipped flute needle for all macular surgery. We appreciate author's conclusion.

The choice of intraocular tamponade was not based on the occurrence of macular pucker as mentioned by authors. [3] In fact, the choice would have been intraocular gas either SF6 or C3F8. However, our decision was based on the following: 1. Extensive area of RPE ICG staining which may affect the re-attachment of the macula as a large area of serous detachment was seen preoperatively on OCT and clinically. [3] 2. Patient did not want gas tamponade as discussed preoperatively. She had surgery earlier for vitreomacular traction with serous macular detachment with intraocular gas.

We appreciate author's concerns regarding the management of the case.

 
  References Top

1.
Kumar V, Ghosh B, Thakar M, Goel N. Retinal pigment epithelium atrophy following indocyanine green dye-assisted surgery for serous macular detachment. Indian J Ophthalmol 2009;57:326-27.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Hussain N, Jalali S, Rani A, Rawal H. Retinal pigment epithelial atrophy following indocyanine green dye-assisted surgery for serous macular detachment. Indian J Ophthalmol 2008;56:423-5.  Back to cited text no. 2
[PUBMED]  Medknow Journal  
3.
Cox MS, Azen SP, Barr CC, Linton KL, Diddie KR, Lai MY, et al. Macular pucker after successful surgery for proliferative vitreoretinopathy Silicone Study Report 8. Ophthalmology 1995;102:1884-91.  Back to cited text no. 3
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1 Authors reply
Korah, S., Kuriakose, T.
Indian Journal of Ophthalmology. 2009; 57(4): 328-329
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