Home About us Editorial board Ahead of print Current issue Search Archives Submit article Instructions Subscribe Contacts Login 
  • Users Online: 1517
  • Home
  • Print this page
  • Email this page

   Table of Contents      
LETTER TO THE EDITOR
Year : 2021  |  Volume : 69  |  Issue : 1  |  Page : 198

Response to comments on: Recurrent unintentional filtering blebs after vitrectomy: A case report


Department of Vitreo-Retina and Ocular Oncology, Sankara Eye Hospital, Bangalore, Karnataka, India

Date of Web Publication15-Dec-2020

Correspondence Address:
Dr. Pradeep Sagar
Sankara Eye Hospital, Varthur Road, Kundalahalli Gate, Bangalore - 560 037, Karnataka
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijo.IJO_744_20

Rights and Permissions

How to cite this article:
Shanmugam P M, Sagar P, Konana VK, Simakurthy S, Ramanjulu R, Sheemar A, Divyansh Mishra K C. Response to comments on: Recurrent unintentional filtering blebs after vitrectomy: A case report. Indian J Ophthalmol 2021;69:198

How to cite this URL:
Shanmugam P M, Sagar P, Konana VK, Simakurthy S, Ramanjulu R, Sheemar A, Divyansh Mishra K C. Response to comments on: Recurrent unintentional filtering blebs after vitrectomy: A case report. Indian J Ophthalmol [serial online] 2021 [cited 2021 Jan 21];69:198. Available from: https://www.ijo.in/text.asp?2021/69/1/198/303349



Dear Editor,

We would like to thank the authors for their comments on our article 'recurrent unintentional filtering blebs after vitrectomy'.[1],[2]

With regard to the comment on the role of gonioscopy, in our case, the opening was 3.5 mm posterior to the limbus and was communicating the vitreous cavity and the bleb. It was a clean-cut wound such as one would see in a sclerotomy. Definite areas of scleral thinning were not seen close to the limbus. So it is less likely that there would be a fistulous track from the angle. Gonioscopy was not done as the communication was at the site of the sclerotomy and not close to the anterior chamber.

We agree that it is better to avoid sclerotomies in such cases. Our case was unique, as the site of sclerotomies performed for vitrectomy for retinal detachment repair appears to be re-opened. We recommend to implant iris-claw intraocular lens (IOL), rather than scleral fixation of IOL.

We agree that unnecessary surgical intervention should be avoided, but the filtering blebs in our case led to hypotony in the first two instances, which compelled us to intervene. The recent bleb is in the superonasal quadrant and the intraocular pressure is maintained. So we decided to observe. Surgical intervention would be warranted in certain scenarios like hypotony.

Patch graft was considered as the area of the leak was thin and the rest of the sclera appeared to be normal. However, it would have been better to consider scleral graft from a donor eye rather than an autologous graft.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.



 
  References Top

1.
Venkataraman P, Chandran P. Comments on: Recurrent unintentional filtering blebs after vitrectomy. Indian J Ophthalmol 2021;69:197.  Back to cited text no. 1
  [Full text]  
2.
Shanmugam PM, Sagar P, Konana VK, Simakurthy S, Ramanjulu R, Sheemar A, et al. Recurrent unintentional filtering blebs after vitrectomy: A case report. Indian J Ophthalmol 2020;68:660-2.  Back to cited text no. 2
[PUBMED]  [Full text]  




 

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
    Viewed206    
    Printed2    
    Emailed0    
    PDF Downloaded25    
    Comments [Add]    

Recommend this journal