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   Table of Contents      
AUTHORíS REPLY
Year : 2015  |  Volume : 63  |  Issue : 2  |  Page : 174

Authors' reply


Department of Ophthalmology, Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi, India

Date of Web Publication1-Apr-2015

Correspondence Address:
Dr. Varun Gogia
Dr. Rajendra Prasad Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - 110 029
India
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Gogia V, Venkatesh P, Gupta S, Kakkar A, Garg S. Authors' reply. Indian J Ophthalmol 2015;63:174

How to cite this URL:
Gogia V, Venkatesh P, Gupta S, Kakkar A, Garg S. Authors' reply. Indian J Ophthalmol [serial online] 2015 [cited 2019 Nov 15];63:174. Available from: http://www.ijo.in/text.asp?2015/63/2/174/154417

Dear Sir,

We thank the readers for showing interest in our article "endoilluminator-assisted scleral buckling: Our results." [1] We agree with the recommendation of the readers that preoperative identification of the breaks is a more appropriate terminology than localization of the break and "localized" in our series refers to identification of the break preoperatively. We have included those patients only where breaks could not be identified preoperatively, and we were not convinced about the site of buckle placement.

The role of the endoillumination is to aid in identification and localization of the retinal breaks and perform cryopexy in case where preoperative identification is not possible. Since the tip of the endoilluminator during globe manipulation required at the time of band and buckle placement can potentially cause an iatrogenic cataract by touching the posterior lens surface, our protocol is to remove the illuminator after cryopexy. Indirect ophthalmoscope is then used for height adjustment of buckle indent.

We do not perform nondrainage in all our retinal detachment surgeries. We drain only in cases where preoperatively we find presence of any traction near the break, which could prevent its closure or intraoperatively when break buckle relationship is not adequate for its closure either due to location of break or height of retinal detachment. In our series, none of the patients had fixed folds, and most of these were quadrantic or subtotal detachments, thus leading to spectacular results even in aphakic and pseudophakic eyes.

 
  References Top

1.
Gogia V, Venkatesh P, Gupta S, Kakkar A, Garg S. Endoilluminator-assisted scleral buckling: Our results. Indian J Ophthalmol 2014;62:893-4.  Back to cited text no. 1
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