LETTER TO EDITOR
|Year : 2010 | Volume
| Issue : 5 | Page : 448-449
Vipul Arora, Kim R Usha, Hadi M Khazei
Orbit, Oculoplasty and Oncology Clinic, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu, India
|Date of Web Publication||2-Aug-2010|
Kim R Usha
Orbit, Oculoplasty and Oncology Clinic, Aravind Eye Hospital and Postgraduate Institute of Ophthalmology, Madurai, Tamil Nadu
|How to cite this article:|
Arora V, Usha KR, Khazei HM. Authors' reply. Indian J Ophthalmol 2010;58:448-9
The authors wish to thank Gupta et al.  for their interest in our article  and for their comments. Point-wise clarification of the queries is given herewith:
- In this case, we can observe prominent veins and thinning of skin with some hypopigmented lesions, which in itself is suggestive of hypoplasia. Moreover, the texture of the skin was felt to be hypoplastic and it is difficult to notice it in a two-dimensional image.
- We do not agree with the statement that only microphthalmia is the feature of Delleman syndrome, as the authors  themselves and other authors who have studied and compared their cases with previous reported cases have always mentioned anophthalmia / microphthalmia as a feature of the oculocerebrocutaneous syndrome. Hennekam  and Moog et al.  have also described multiple features associated with this syndrome.
Therefore we still believe that this is a case of Delleman Oorthuys syndrome.
- The third image was only included as per recommendations of a peer reviewer and there was no recurrence of cystic swelling as the case is still on follow-up. However, we do agree that the gradually expanding custom-made prosthesis is recommended in such cases, which is being followed in this case as well.
| References|| |
|1.||Gupta VP, Bhattacharya SN, Gupta P, Gupta R. Is it congenital cystic eye with dermal appendages and cerebral anomalies?' Indian J Ophthalmol 2010;58:448. |
|2.||Arora V, Kim UR, Khazei HM. Delleman Oorthuys syndrome: 'Oculocerebrocutaneous syndrome'. Indian J Ophthalmol 2009;57:387-9. [PUBMED] |
|3.||Delleman JW, Oorthuys JW. Orbital cyst in addition to congenital cerebral and focal dermal malformations: a new entity? Clin Genet 1981;19:191-8. |
|4.||Hennekam RC. Scalp lipomas and cerebral malformations: overlap between encephalocraniocutaneous lipomatosis and oculocerebrocutaneous syndrome. Clin Dysmorphol 1994;3:87-9. |
|5.||Moog U, Krόger G, Stengel B, De Die-Smulders C, Dykstra S, Bleeker-Wagemakers E. Oculocerebrocutaneous syndrome: a case report, a follow-up, and differential diagnostic considerations. Genet Couns 1996;7:257-65. |