• Users Online: 61044
  • Home
  • Print this page
  • Email this page

   Table of Contents      
LETTER TO THE EDITOR
Year : 2009  |  Volume : 57  |  Issue : 5  |  Page : 407

Authors' reply


Glaucoma Service, Prabha Eye Clinic and Research Centre and Vittala International Institute of Ophthalmology, Bangalore, India

Date of Web Publication14-Aug-2009

Correspondence Address:
Gowri J Murthy
Vittala International Institute of Ophthalmology, CA site No 1, 2nd cross, 2nd main, Hosakerehalli, BSK 3rd stage, Bangalore- 560 078
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.55143

Rights and Permissions

How to cite this article:
Murthy GJ, Murthy PR, Murthy KR, Kulkarni VV, Murthy K R. Authors' reply. Indian J Ophthalmol 2009;57:407

How to cite this URL:
Murthy GJ, Murthy PR, Murthy KR, Kulkarni VV, Murthy K R. Authors' reply. Indian J Ophthalmol [serial online] 2009 [cited 2024 Mar 29];57:407. Available from: https://journals.lww.com/ijo/pages/default.aspx/text.asp?2009/57/5/407/55143

Dear Editor,

The authors wish to thank Raizada et al , for their interest in our article [1] and for their comments. [2] We would like to clarify a few points which were raised in the letter.

We admit that best corrected visual acuity (BCVA) comparisons across modalities have limitations. Additional procedures which were performed in our series, may have had an impact on BCVA, and might favor our results. However, in this subset of refractory glaucomas traditionally associated with poor visual prognosis, we have tried to demonstrate that endoscopic cyclophotocoagulation (ECP) along with addressing some of the existing comorbidities, can lead to good visual outcomes.

In our study series we have combined other procedures with ECP. However, the contribution of these procedures to intraocular pressure (IOP) lowering in our subset is very minimal, as none of our study eyes had raised IOP directly related to either silicone oil (such as pupil block, emulsified oil), or to the intraocular lens (IOL) (IOL-related pupil block). Removal of oil/ explantation of IOL is unlikely to have contributed in a significant manner to the IOP reduction. Endolaser to the peripheral retina was specifically done in eyes with neovascular glaucoma, and this definitely addresses the neovascularization and allows for regression of new vessels, but cannot be adequate for management of significantly raised IOPs.

In our study phakic eyes underwent anterior ECP. We have not had any instances of lens touch by the probe, in our experience. Limbal ECP is a well-recognized modality of performing ECP, as reported in the literature. [3]

Any vitrectomy done by the pars plana route is termed as pars plana (PP) vitrectomy, in our series. Three ports have been made because we do not use irrigating light pipes. It is a standard recommendation to perform adequate vitrectomy, along with PP ECP to avoid further retinal detachments/ tears. [3]

 
  References Top

1.
Murthy GJ, Murthy PR, Murthy KR, Kulkarni VV, Murthy KR. A study of the efficacy of endoscopic cyclophotocoagulation for the treatment of refractory glaucomas. Indian J Ophthalmol 2009;57:127-32.  Back to cited text no. 1
[PUBMED]  Medknow Journal  
2.
Seemant R, AL Sabti K. A study of the efficacy of endoscopic cyclophotocoagulation for the treatment of refractory glaucomas. Indian J Ophthalmol 2009; 57:406-7.  Back to cited text no. 2
    
3.
Lin S. Endoscopic cyclophotocoagulation. Br J Ophthalmol 2002;86:1434-8.  Back to cited text no. 3
    




 

Top
 
 
  Search
 
    Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
    Access Statistics
    Email Alert *
    Add to My List *
* Registration required (free)  

 
  In this article
References

 Article Access Statistics
    Viewed1944    
    Printed75    
    Emailed0    
    PDF Downloaded257    
    Comments [Add]    

Recommend this journal