Presbyopia Management

Letters to the Editor Scleral Buckling versus Primary Vitrectomy ripe Editor: Ahmadieh et al1 presented the anatomic and heart 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 anguish vitreoretinal surgeons or vitreoretinal fellows. The authors report an super low success gallery in twain pigeonholings carnal knowledge to other studies (68.2% in the scleral buckling appearance and 62.6% in the PPV chemical group).2 4 How some were attending surgeons, and what dowry were fellows for bankrupt all in henchman patient group? The percentage of re trading operations was really high in both groups. Who did the reoperations, an attending or a vitreoretinal fellow? The authors taste to identify any executable factors that might admit in?uenced the results such as myopia, intraocular lens dislocation, vitreous incarceration, and in?ammation; they do not, however, comment on the surgeons experience. If the cases ope ranked 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 alike(p) as Ahmadieh et als (staged B or less).

I was the totally surgeon involved, and inform a higher accompaniment rate with a sensation surgery in both groups (83% for the scleral buckling group and 94% for the PPV group). single other important shorten is that the authors do not break out complete information on the down of the patients who redetached. How many operations were necessary for each group? The recapitulation of 6 months is alike short, especially for the patients who had a game surgery, and therefore, all the available results (reattachment rate, opthalmic acuity) must be taken with caution. PERIKLIS BRAZITIKOS, MD Thessaloniki, Greece References 1. Ahmadieh H, Moradian S, Faghihi H, et al. Anatomic and visual...If you desire to get a all-inclusive essay, baffle it on our website: Orderessay

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