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LETTER TO THE EDITOR |
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Year : 2013 | Volume
: 61
| Issue : 12 | Page : 774 |
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Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results
Krishnan Panakanti Tandava1, Ravikoti Rajyalakshmi2, Snehal N Radke3, Nishant V Radke4
1 Department of Vitreo-Retina, Pushpagiri Eye Institute, 241, Uma Plaza Road No: 9, West Maredpally, Secunderabad, Andhra Pradesh, India 2 Cataract And Anterior Segment, Kishore Chand Chordia Eye care Centre, LV Prasad Eye Institute, Begum Bazaar Chhatri, Hyderabad, India 3 Department of Cataract and anterior segment, Vasan Eye Care Hospital, Nasik, India 4 Vasan Eye Care Hospital, Mumbai Naka, Mumbai Agra Road, Nashik, Maharashtra, India
Date of Web Publication | 9-Jan-2014 |
Correspondence Address: Krishnan Panakanti Tandava Department of Vitreo-Retina, Consultant Vitreo retina Surgeon, Pushpagiri Eye Institute, 241, Uma Plaza Road No: 9, West Maredpally, Secunderabad - 500 026, Andhra Pradesh India
Source of Support: None, Conflict of Interest: None | Check |
DOI: 10.4103/0301-4738.121140
How to cite this article: Tandava KP, Rajyalakshmi R, Radke SN, Radke NV. Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results. Indian J Ophthalmol 2013;61:774 |
Dear Editor,
We have read with great interest the article titled, "Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results". [1] We wish to highlight a few points: General anaesthesia with its associated complications is hardly justified as a routine where local anaesthesia can be safely administered.
Statistically speaking, with a sample size of four,when the authors claim to have no posterior segment complications, the confidence interval can actually vary from 0-53%. [2] This range is huge by itself and hence no definite conclusion regarding its safety can be made. Incidentally, the reported rates of posterior segment complications after management of a subluxated lens by Pars plana approach are Cystoid macular oedema (8%), Retinal detachment (3%) and vitreous haemorrhage (3%). [3]
While the authors have assiduously listed out the complications of transcleral fixation of intraocular lens (IOL) scleral-fixated intraocular lens (SFIOL), they have neither mentioned the complications of Anterior chamber IOL (ACIOL), [4] nor have they established its superiority over SFIOL.
References | | |
1. | Lifshitz T, Levy J, Kratz A, Belfair N, Tsumi E. Planned posterior assisted levitation in severe subluxated cataract: Surgical technique and clinical results. Indian J Ophthalmol 2012;60:567-9. [ PUBMED] |
2. | Sackett DL, Haynes RB, Guyatt GH, Tugwell P. Clinical Epidemiology: A Basic Science for Clinical Medicine. 2 nd edn. Toronto: Little, Brown and Co; 1991. p. 175-6. |
3. | Kazemi S, Wirostko WJ, Sinha S, Mieler WF, Koenig SB, Sheth BP. Combined pars plana lensectomy- vitrectomy with open loop flexible anterior chamber intraocular lens (ACIOL) implantation for subluxated lenses. Trans Am Ophthalmol Soc 2000;98:247-51. [ PUBMED] |
4. | Salehi-Had H, Turalba A. Management of traumatic crystalline lens subluxation and dislocation. Int Ophthalmol Clin 2010;50:167-79. [ PUBMED] |
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