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| LETTER TO EDITOR |
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| Year : 2006 | Volume
: 54
| Issue : 3 | Page : 210 |
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Authors' reply
Rahul Bhola1, Rohit Saxena1, Harinder Singh Sethi1, Pradeep Sharma1, Anita Panda1, Seema Sen2
1 Department of Ophthalmology, R. P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - 110029, India
2 Department of Ocular Pathology, R. P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - 110029, India
Correspondence Address:
Pradeep Sharma
Department of Ophthalmology, R. P. Centre for Ophthalmic Sciences, All India Institute of Medical Sciences, New Delhi - 110029
India
 Source of Support: None, Conflict of Interest: None  | Check |
How to cite this article:
Bhola R, Saxena R, Sethi HS, Sharma P, Panda A, Sen S. Authors' reply. Indian J Ophthalmol 2006;54:210 |
Dear Editor,
We thank the author of the letter for showing interest in our article.[1] The authors have stated the possibility of high intraocular pressure (IOP) measurement in this case. Congenital hereditary endothelial dystrophy (CHED) is characterized by a diffuse bilateral corneal opacity (edema). CHED has usually been considered to be a specific clinical entity that is not combined with congenital glaucoma or other significant abnormalities of the anterior segment of the eye. The dystrophy might be misdiagnosed as congenital glaucoma.[2] There have been case reports indicating that it may be associated with congenital glaucoma.[3],[4] This is of importance when dealing with infants with congenital glaucoma and corneal opacification. However, due to the increased corneal thickness and opacification in cases with CHED, IOP measurement can be fallacious, with standard tonometry with Schiotz and Goldman tonometers. The recommended tonometer in these cases is the TonoPenβ, which was used in this case. The corneal diameter was measured using standard surgical calipers. Both these parameters were found to be within normal limits, as mentioned in the article.[1]
| References | |  |
| 1. | Bhola R, Saxena R, Sethi HS, Sharma P, Panda A, Sen S. Bilateral dissociated vertical deviation in a case of congenital hereditary endothelial dystrophy. Indian J Ophthalmol 2006;54:41-2.  [ PUBMED] [ FULLTEXT] |
| 2. | Sajjadi H, Javadi MA, Hemmati R, Mirdeghan A, Parvin M, Nassiri N. Results of penetrating keratoplasty in CHED. Congenital hereditary endothelial dystrophy. Cornea 1995:14:18-25. [ PUBMED] |
| 3. | Mullaney PB, Risco JM, Teichmann K, Millar L. Congenital hereditary endothelial dystrophy associated with glaucoma. Ophthalmology 1995;102:186-92. [ PUBMED] |
| 4. | Pedersen OO, Rushood A, Olsen EG. Anterior mesenchymal dysgenesis of the eye. Congenital hereditary endothelial dystrophy and congenital glaucoma. Acta Ophthalmol (Copenh) 1989;67:470-6. [ PUBMED] |
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