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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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Year : 2014  |  Volume : 21  |  Issue : 4  |  Page : 366-367  

Author's Reply

Ankara Training and Research Hospital, Ankara, Turkey

Date of Web Publication4-Oct-2014

Correspondence Address:
Zuleyha Yalniz-Akkaya
Yukariovecler Mah, 1238 Cad, No: 12/34, Cankaya, Ankara
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Source of Support: None, Conflict of Interest: None

PMID: 25371650

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How to cite this article:
Yalniz-Akkaya Z, Burcu A, Eksioglu U, Acar MA, Ornek F. Author's Reply . Middle East Afr J Ophthalmol 2014;21:366-7

How to cite this URL:
Yalniz-Akkaya Z, Burcu A, Eksioglu U, Acar MA, Ornek F. Author's Reply . Middle East Afr J Ophthalmol [serial online] 2014 [cited 2022 Nov 29];21:366-7. Available from: http://www.meajo.org/text.asp?2014/21/4/366/142285


We thank Agarwal et al for their interest on our article "Primary and secondary implantation of scleral fixated intraocular lens in adult patients". [1]

We agree with Agarwal et al's that complications such as cystoid macular edema and glaucoma can occur secondary to both penetrating keratoplasty and scleral fixated intraocular lens (SFIOL). In our series glaucoma and cystoid macular edema were observed in two separate patients who underwent combined penetrating keratoplasty and SFIOL. Excluding these two patients form the statistical analysis did not change the results - the values were not statistically significant.

We also agree with Agarwal et al's comment that trauma related corneal and retinal damage can lead to bias when comparing patients with primary and secondary SFIOL implantation as all trauma cases were included in Secondary Group (scleral fixated intraocular lens was implanted at a different session). However, the cases of trauma had postoperative corrected distance visual acuities of 0.2 (one patient), 0.7 (three patients) and 0.8 (one patient, in decimal notation) and no patient had posterior segment injury. As these patients had no trauma-related causes of visual reduction, they were not excluded from the secondary group for statistical analysis of visual acuity.

   References Top

1.Yalniz-Akkaya Z, Burcu A, Uney GO, Abay I, Eksioglu U, Acar MA, et al. Primary and secondary implantation of sclera fixated posterior chamber intraocular lenses in adult patients. Middle East Afr J Ophthalmol 2014;2:44-9.  Back to cited text no. 1
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