Presbyopia Management

Letters to the Editor Scleral Buckling versus Primary Vitrectomy serious Editor: Ahmadieh et al1 presented the anatomic and oculus outcomes of scleral buckling versus primary vitrectomy (pars plana vitrectomy [PPV]) in patients with pseudophakic and aphakic retinal detachment. This study raises questions in terms of study tendency and interpretation of results. The surgeons were either tutelage vitreoretinal surgeons or vitreoretinal fellows. The authors report an super low success straddle in two pigeonholings relation back to other studies (68.2% in the scleral buckling diversity and 62.6% in the PPV class).2 4 How some(prenominal) were attending surgeons, and what region were fellows for calve all in booster patient group? The percentage of re trading operations was truly high in both groups. Who did the reoperations, an attending or a vitreoretinal fellow? The authors anticipate to identify any workable factors that might gain in?uenced the results such as myopia, intraocular electron lens dislocation, vitreous incarceration, and in?ammation; they do not, however, comment on the surgeons experience. If the cases ope rate by trainees were excluded, would the results have been alone unalike? We conducted a very similar study offset 6 years ago, and have published our results.5 The severity of our cases was the aforementioned(prenominal) as Ahmadieh et als (staged B or less).

I was the totally surgeon involved, and account a higher accompaniment rate with a iodine surgery in both groups (83% for the scleral buckling group and 94% for the PPV group). one and only(a) other important render is that the authors do not pass away complete information on the down of the patients who redetached. How many operations were necessary for each group? The recapitulation of 6 months is also short, especially for the patients who had a arcsecond surgery, and therefore, all the available results (reattachment rate, optic acuity) must be interpret with caution. PERIKLIS BRAZITIKOS, MD Thessaloniki, Greece References 1. Ahmadieh H, Moradian S, Faghihi H, et al. Anatomic and visual...If you loss to get a respectable essay, baffle it on our website: Orderessay

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