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LETTER
Year : 2015  |  Volume : 10  |  Issue : 4  |  Page : 506

Authors' reply


Smt. Kanuri Santhamma Centre for Vitreoretinal Diseases, KAR Campus, LV Prasad Eye Institute, Hyderabad, Telangana, India

Date of Submission08-Jan-2016
Date of Acceptance08-Jan-2016
Date of Web Publication18-Feb-2016

Correspondence Address:
Jay Chhablani
LV Prasad Eye Institute, KAR Campus, Banjara Hills, Road No. 2, Hyderabad - 500 034, Telangana
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2008-322X.176891

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How to cite this article:
Sudhalkar A, Chhablani J. Authors' reply. J Ophthalmic Vis Res 2015;10:506

How to cite this URL:
Sudhalkar A, Chhablani J. Authors' reply. J Ophthalmic Vis Res [serial online] 2015 [cited 2020 Aug 13];10:506. Available from: http://www.jovr.org/text.asp?2015/10/4/506/176891

Dear Editor,

We thank Dr. Shubhakaran and express our gratitude for his interest in our article.[1] He has brought up several points of interest for our esteemed readers. The subject of vitreous hemorrhage in infectious conditions such as dengue [2] or malaria [3] is of immediate concern to developing countries in general and India in particular, where these diseases are endemic amongst children and require urgent attention. Often, the management of life threatening complications takes precedence over ocular problems, and once recovery is complete and unless the hemorrhage is bilateral, the child may or may not bring the visual impairment to the guardian's notice. Additionally, non-hemorrhagic complications of these infectious diseases are well known,[4] and hence the treating pediatrician is urged to refer the child for a bedside ophthalmic examination. Finally, hypertensive retinopathy accounts for 1.7% of all pediatric vitreous hemorrhage cases,[5] and as already stated, generally requires only control of systemic hypertension unless it is of sufficient severity and nonresolving to warrant early surgical intervention to avoid amblyopia in this population.

Financial Support and Sponsorship

Nil.

Conflicts of Interest

There are no conflicts of interest.

 
  References Top

1.
Sudhalkar A, Chhablani J, Rani PK, Jalali S, Balakrishnan D, Tyagi M. Bilateral vitreous hemorrhage in children: Clinical features and outcomes. J Ophthalmic Vis Res 2015;10:139-143.  Back to cited text no. 1
    
2.
Shubhakaran K, Jakhar R. Ocular changes in infectious diseases. J Assoc Physicians India 2005;53:913-914.  Back to cited text no. 2
    
3.
Shubhakaran K. Life threatening haemorrhagic complications of malaria. J Assoc Physicians India 2012;60:67.  Back to cited text no. 3
    
4.
Ranjan R, Ranjan S. Ocular pathology: Role of emerging viruses in the Asia-Pacific region – A review. Asia Pac J Ophthalmol (Phila) 2014;3:299-307.  Back to cited text no. 4
    
5.
Dana MR, Werner MS, Viana MA, Shapiro MJ. Spontaneous and traumatic vitreous hemorrhage. Ophthalmology 1993;100:1377-1383.  Back to cited text no. 5
    




 

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