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LETTER TO THE EDITOR |
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Year : 2015 | Volume
: 63
| Issue : 4 | Page : 364 |
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Author response: Repeat gas insufflation for successful closure of idiopathic macular hole following failed primary surgery
Pukhraj Rishi, Sumanth Reddy, Ekta Rishi
Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, Chennai, Tamil Nadu, India
Date of Web Publication | 3-Jun-2015 |
Correspondence Address: Dr. Pukhraj Rishi Shri Bhagwan Mahavir Vitreoretinal Services, Sankara Nethralaya, 18 College Road, Chennai - 600 006, Tamil Nadu India
Source of Support: None, Conflict of Interest: None | Check |
PMID: 26044488
How to cite this article: Rishi P, Reddy S, Rishi E. Author response: Repeat gas insufflation for successful closure of idiopathic macular hole following failed primary surgery. Indian J Ophthalmol 2015;63:364 |
Dear Editor,
We appreciate the interest of Goel et al. [1] and their remarks in response to our article "Repeat gas insufflation for successful closure of idiopathic macular hole following failed primary surgery." [2] We also congratulate them on their success in achieving closure in two cases of primarily failed macular hole closure as shared in their report.
They attribute our interpretation of type 2 macular hole closure in a case with residual foveal defect and cuff of subretinal fluid as incorrect. This needs some clarification. Tornambe et al. have classified macular hole surgery outcomes into three possible situations: Elevated/open, flat/open and flat/closed. [3] The first two situations are recognized as type 2 closure while the third situation is considered as type 1 closure; presence/absence of residual foveal defect being the prime determinant.
We would like to reemphasize that the focus of our report was on factors related to the closure of idiopathic macular hole following failed primary surgery. Preoperative optical coherence tomography configuration of the macular hole can offer predictive clues to successful re-surgery. [4]
We again thank Goel et al. for bringing up this point thus helping generate clarity on this issue.
References | | |
1. | Goel N, Prakash A, Gupta AK. Repeat fluid- gas exchange for failed primary macular hole surgery. Indian J Ophthalmol 2014;62:1104-5. [ PUBMED] |
2. | Rishi P, Reddy S, Rishi E. Repeat gas insufflation for successful closure of idiopathic macular hole following failed primary surgery. Indian J Ophthalmol 2014;62:363-5. [ PUBMED] |
3. | Tornambe PE, Poliner LS, Cohen RG. Definition of macular hole surgery end points: Elevated/open, flat/open, flat/closed. Retina 1998;18:286-7. |
4. | Hoerauf H. Predictive values in macular hole repair. Br J Ophthalmol 2007;91:1415-6. |
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