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  Table of Contents  
LETTER TO EDITOR
Year : 2011  |  Volume : 59  |  Issue : 2  |  Page : 173
 

Author's reply


Narayana Nethralaya, 121/C, Rajajinagar, Bangalore, Karnataka, India

Date of Web Publication23-Feb-2011

Correspondence Address:
Rohit Shetty
Narayana Nethralaya, 121/C, Chord Road, Rajajinagar, 1st "R" Block, Bangalore - 560 010, Karnataka
India
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How to cite this article:
Shetty R. Author's reply. Indian J Ophthalmol 2011;59:173

How to cite this URL:
Shetty R. Author's reply. Indian J Ophthalmol [serial online] 2011 [cited 2013 Jun 19];59:173. Available from: http://www.ijo.in/text.asp?2011/59/2/173/77037


Dear Editor,

We thank Parthasarthy [1] for his interest in and comments on our paper on Intacs in Indian eyes with keratoconus. [2] Eyes with pachmetry > 400 μm had greater improvement in the sphere and mean refractive spherical equivalent (MRSE) values than thinner corneas. [3] In our series, corneas with <400 μm (n = 7) achieved good flattening by the end of 3 months and these eyes showed regression at 6 months and attained the reported spherical equivalent at 1 month. This could be because of biomechanically weaker corneas which were unable to sustain the same effect after 3 months; we noticed better results with "stronger/thicker cornea." We, however, do not have data (biomechanics) to support this hypothesis.

We had investigated for vernal kerato conjunctivitis prior to the implantation of Intacs; patients with vernal keratoconjunctivitis were treated. All patients were counseled for eye rubbing prior to Intacs implantation. None of these patients had collagen cross-linking prior to or after Intacs implantation.

 
   References Top

1.Parthasarathy A. Safety and efficacy of intacs in Indian eyes with keratoconus: An initial report. Indian J Ophthalmol 2011;59:173.  Back to cited text no. 1
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2.Shetty R, Narayana KM, Mathew K, Anand D, Mhaske P, Shetty BK. Safety and efficacy of Intacs in Indian eyes with keratoconus: An initial report. Indian J Ophthalmol 2009;57:115-9.   Back to cited text no. 2
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3.Shetty R, Kurian M, Anand D, Mhaske P, Narayana KM, Shetty BK. Intacs in advanced keratoconus. Cornea 2008;27:1022-9.  Back to cited text no. 3
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