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LETTER TO EDITOR |
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Year : 2011 | Volume
: 59
| Issue : 2 | Page : 173 |
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Author's reply
Rohit Shetty
Narayana Nethralaya, 121/C, Rajajinagar, Bangalore, Karnataka, India
Date of Web Publication | 23-Feb-2011 |
Correspondence Address: Rohit Shetty Narayana Nethralaya, 121/C, Chord Road, Rajajinagar, 1st "R" Block, Bangalore - 560 010, Karnataka India
Source of Support: None, Conflict of Interest: None | Check |
How to cite this article: Shetty R. Author's reply. Indian J Ophthalmol 2011;59:173 |
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 | | |
1. | Parthasarathy A. Safety and efficacy of intacs in Indian eyes with keratoconus: An initial report. Indian J Ophthalmol 2011;59:173. [ PUBMED] |
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. [ PUBMED] |
3. | Shetty R, Kurian M, Anand D, Mhaske P, Narayana KM, Shetty BK. Intacs in advanced keratoconus. Cornea 2008;27:1022-9. [ PUBMED] [ FULLTEXT] |
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