AAO Journal Archive
- Classification of Vitreous Seeds in Retinoblastoma
- Topical 5-Fluorouracil 1% as Primary Treatment for Ocular Surface Squamous Neoplasia
- Individualized Stabilization Criteria–Driven Ranibizumab versus Laser in Branch Retinal Vein Occlusion
- Correlation of Histologic Features with In Vivo Imaging of Reticular Pseudodrusen
- Pseudodrusen and Incidence of Late Age-Related Macular Degeneration in Fellow Eyes in the Comparison of Age-Related Macular Degeneration Treatments Trials
- Pharmacotherapies for Retinal Detachment
- Can Automated Imaging for Optic Disc and Retinal Nerve Fiber Layer Analysis Aid Glaucoma Detection?
- Suture Colonization Rate in Adjustable Strabismus Surgery
- Genetic and Dietary Factors Influencing the Progression of Nuclear Cataract
- Diagnostic Accuracy of Optical Coherence Tomography and Scanning Laser Tomography for Identifying Glaucoma in Myopic Eyes
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The following Letter to the Editor (Ophthalmology 2015;122:e18) was posted without the Reply. Below please find the Letter and Reply.
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A 60-year-old man with Fuchs' endothelial dystrophy underwent Descemet's stripping endothelial keratoplasty (DSEK) in his right eye because of corneal edema and deterioration of visual acuity to 20/100. Six years earlier he underwent DSEK in his left eye due to pseudophakic bullous keratopathy.
Read more: Unusual Histopathological Views of Fuchs' Endothelial Dystrophy
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The report by Chan et al1 in the current issue (p. 2278) details how screening for both diabetic retinopathy and age-related macular degeneration (AMD) can be conducted using fundus photographs obtained with nonmydriatic cameras. Exactly how cost-effective is such a screening? Could this be a recommendation for the future? Herein, we explore the potential for such a model for the management of 2 of the leading causes of blindness worldwide.
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We are glad that Dr. Rao and colleagues have shown interest in our paper1 and raise some interesting questions about possible differences in intraocular pressure (IOP) between eyes with threat to fixation (TTF) and eyes without TTF. We did not include IOP in the original analysis. One reason was that we firmly believe that TTF has rarely been considered an important factor when determining target IOP, as opposed to the magnitude of field loss, rate of progression, and IOP. We also knew that it would be impossible to reliably determine reasons for treatment decisions because of the retrospective nature of the study.
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An 8-year-old boy was observed for 5 years for an enlarging, pigmented lesion on his left lower lid (Fig 1). An excisional biopsy was performed and histopathology (H&E) revealed skin with keratinized, stratified squamous epithelium in a papillomatous configuration (Figs 2 and 3). The lesion had nests of densely pigmented melanocytes within the epithelium (black arrows), at the epithelial-stromal junction (white arrows) and within the underlying stroma (asterisks). The history of growth and the junctional location are of much less concern in a juvenile nevus than in an adult nevus.