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Incidence of Fellow Eye Retinal Detachment Resulting From Macular Hole
CORRESPONDENCE Incidence of Fellow Eye Retinal Detachment Resulting From Macular Hole EDITOR: WE READ WITH GREAT INTEREST THE ARTICLE BY YOSHI-
nori Oie and Kazuyuki Emi.1 They retrospectively reviewed the medical records of 59 normal fellow eyes of cases with retinal detachment resulting from macular hole (MHRD) diagnosed between 1994 and 2004 at Osaka Rosai Hospital. Five eyes (8.5%) developed MHRD during the follow-up period. We have a comment to make. In the study, MHRD was diagnosed to be present preoperatively when an apparent macular hole and subretinal fluid were detected by indirect ophthalmoscopy or by optical coherence tomography (OCT), or intraoperatively by observation during vitrectomy. However, the macular hole and retinal detachment was somewhat difficult to be found in high myopic eyes. In our department, we arranged the follow-up schedule for the patients. During follow-up, OCT was performed on both eyes of every patient. OCT was more accurate than indirect ophthalmoscopy especially in the “white hole” cases.2 We would advise all patients after one eye MHRD surgery to undergo an OCT examination during follow-up. ZHOU PENG ZHAO MING-WEI LI XIAO-XIN
Beijing, China
YOSHINORI OIE
Suita, Japan KAZUYUKI EMI
Osaka, Japan
REFERENCES
1. Oie Y, Emi K. Incidence of fellow eye retinal detachment resulting from macular hole. Am J Ophthalmol 2007;143:203–205. 2. Takano M, Kishi S. Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma. Am J Ophthalmol 1999;128:472– 476. 3. Ikuno Y, Sayanagi K, Ohji M, et al. Vitrectomy and internal limiting membrane peeling for myopic foveoschisis. Am J Ophthalmol 2004;137:719 –724.
Meibomitis-related Keratoconjunctivitis in Childhood and Adolescence EDITOR: WE READ WITH SPECIAL INTEREST THE ARTICLE BY DOAN
REFERENCES
1. Oie Y, Emi K. Incidence of fellow eye retinal detachment resulting from macular hole. Am J Ophthalmol 2007;143:203– 205. 2. Wei W, Yang W, Zhao L, et al. Optical coherence tomography of macular holes. Zhonghua Yan Ke Za Zhi 1999;35:419 – 421.
REPLY WE APPRECIATE THE INTEREST OF DRS PENG, MING-WEI
and Xiao-Xin in our study.1 Optical coherence tomography (OCT) has revealed that myopic foveoschisis and macular holes frequently develop in highly myopic eyes.2,3 We agree that macular holes in myopic eyes are sometimes difficult to detect with indirect ophthalmoscopy. We also think that performing an OCT scan of the fellow eyes at each follow-up examination is useful for detect160
ing retinal detachments resulting from macular hole (MHRD) as we described in the previous report. However, our patients were examined between 1994 and 2004, and OCT was unavailable at the beginning of our follow-up. For this reason, we could not confirm the presence of macular holes with OCT in some cases. Thus we also believe that the fellow eyes of patients with MHRD should be examined using OCT as well as indirect ophthalmoscopy.
©
2007 BY
and associates entitled, “Long-term Visual Outcome of Childhood Blepharokeratoconjunctivitis.”1 We agree with the authors that childhood blepharokeratoconjunctivitis is often misdiagnosed, and specific treatments including lid hygiene and topical and/or oral antibiotics are mandatory. In fact, we earlier reported the effectiveness of systemic antibiotic treatment in 23 young Japanese patients with phlyctenular keratitis whose ocular manifestations were similar to those reported here.2 Last November, Cetinkaya and Akova3 published an article concerning pediatric patients with ocular acne rosacea; their photographs demonstrated ocular manifestations identical to those in our report, although our patients did not present with acne rosacea. As Doan and associates stated,1 childhood blepharokeratoconjunctivitis, childhood ocular rosacea, and phlyctenular keratoconjunctivitis share clinical characteristics including a significantly higher prevalence in young girls, a past history of recurrent chalazia, a variety of
ELSEVIER INC. ALL
RIGHTS RESERVED.
0002-9394/07/$32.00
nori Oie and Kazuyuki Emi.1 They retrospectively reviewed the medical records of 59 normal fellow eyes of cases with retinal detachment resulting from macular hole (MHRD) diagnosed between 1994 and 2004 at Osaka Rosai Hospital. Five eyes (8.5%) developed MHRD during the follow-up period. We have a comment to make. In the study, MHRD was diagnosed to be present preoperatively when an apparent macular hole and subretinal fluid were detected by indirect ophthalmoscopy or by optical coherence tomography (OCT), or intraoperatively by observation during vitrectomy. However, the macular hole and retinal detachment was somewhat difficult to be found in high myopic eyes. In our department, we arranged the follow-up schedule for the patients. During follow-up, OCT was performed on both eyes of every patient. OCT was more accurate than indirect ophthalmoscopy especially in the “white hole” cases.2 We would advise all patients after one eye MHRD surgery to undergo an OCT examination during follow-up. ZHOU PENG ZHAO MING-WEI LI XIAO-XIN
Beijing, China
YOSHINORI OIE
Suita, Japan KAZUYUKI EMI
Osaka, Japan
REFERENCES
1. Oie Y, Emi K. Incidence of fellow eye retinal detachment resulting from macular hole. Am J Ophthalmol 2007;143:203–205. 2. Takano M, Kishi S. Foveal retinoschisis and retinal detachment in severely myopic eyes with posterior staphyloma. Am J Ophthalmol 1999;128:472– 476. 3. Ikuno Y, Sayanagi K, Ohji M, et al. Vitrectomy and internal limiting membrane peeling for myopic foveoschisis. Am J Ophthalmol 2004;137:719 –724.
Meibomitis-related Keratoconjunctivitis in Childhood and Adolescence EDITOR: WE READ WITH SPECIAL INTEREST THE ARTICLE BY DOAN
REFERENCES
1. Oie Y, Emi K. Incidence of fellow eye retinal detachment resulting from macular hole. Am J Ophthalmol 2007;143:203– 205. 2. Wei W, Yang W, Zhao L, et al. Optical coherence tomography of macular holes. Zhonghua Yan Ke Za Zhi 1999;35:419 – 421.
REPLY WE APPRECIATE THE INTEREST OF DRS PENG, MING-WEI
and Xiao-Xin in our study.1 Optical coherence tomography (OCT) has revealed that myopic foveoschisis and macular holes frequently develop in highly myopic eyes.2,3 We agree that macular holes in myopic eyes are sometimes difficult to detect with indirect ophthalmoscopy. We also think that performing an OCT scan of the fellow eyes at each follow-up examination is useful for detect160
ing retinal detachments resulting from macular hole (MHRD) as we described in the previous report. However, our patients were examined between 1994 and 2004, and OCT was unavailable at the beginning of our follow-up. For this reason, we could not confirm the presence of macular holes with OCT in some cases. Thus we also believe that the fellow eyes of patients with MHRD should be examined using OCT as well as indirect ophthalmoscopy.
©
2007 BY
and associates entitled, “Long-term Visual Outcome of Childhood Blepharokeratoconjunctivitis.”1 We agree with the authors that childhood blepharokeratoconjunctivitis is often misdiagnosed, and specific treatments including lid hygiene and topical and/or oral antibiotics are mandatory. In fact, we earlier reported the effectiveness of systemic antibiotic treatment in 23 young Japanese patients with phlyctenular keratitis whose ocular manifestations were similar to those reported here.2 Last November, Cetinkaya and Akova3 published an article concerning pediatric patients with ocular acne rosacea; their photographs demonstrated ocular manifestations identical to those in our report, although our patients did not present with acne rosacea. As Doan and associates stated,1 childhood blepharokeratoconjunctivitis, childhood ocular rosacea, and phlyctenular keratoconjunctivitis share clinical characteristics including a significantly higher prevalence in young girls, a past history of recurrent chalazia, a variety of
ELSEVIER INC. ALL
RIGHTS RESERVED.
0002-9394/07/$32.00