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Middle East African Journal of Ophthalmology Middle East African Journal of Ophthalmology
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LETTER TO THE EDITOR
Year : 2015  |  Volume : 22  |  Issue : 4  |  Page : 532  

Author's reply


New England Eye Center at Tufts Medical Center, Boston, MA 02111, USA

Date of Web Publication21-Oct-2015

Correspondence Address:
Andre J Witkin
Tufts Medical Center, 800 Washington Street, Box 450, Boston, MA 02111
USA
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Source of Support: None, Conflict of Interest: None


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How to cite this article:
Salz DA, Witkin AJ. Author's reply. Middle East Afr J Ophthalmol 2015;22:532

How to cite this URL:
Salz DA, Witkin AJ. Author's reply. Middle East Afr J Ophthalmol [serial online] 2015 [cited 2019 Aug 22];22:532. Available from: http://www.meajo.org/text.asp?2015/22/4/532/167812

Sir,

Thank you for the well-written response and review of the current B-scan ultrasonography literature. B-scan ultrasonography, certainly, has a role in treating diabetic patients with vitreous hemorrhage and a poor funduscopic view. Ultrasonography gives the ophthalmologist a useful tool in his or her armamentarium to make an appropriate medical or surgical decision. It is important to note that the references in the above letter do not deal with only patients who have diabetic retinopathy, but a variety of patients with other vitreoretinal disorders as well that lead to vitreous hemorrhage. The different pathogenesis of the diseases such as in a hemorrhagic posterior vitreous detachment where one wants to rule out a retinal detachment can confound the data and management decisions of the studies cited. Diabetic patients are typically more difficult to evaluate as they often have multiple tractional bands that can simulate posterior hyaloid or retina on B-scan ultrasonography. Even if there is an area of peripheral retinal detachment, vitrectomy is not always required. We appreciate your contributions and insight into this important imaging modality in diabetic patients.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.




 

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