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Intraoperative Optical Coherence Tomography Guided Imaging of Incision-Site Descemet Membrane Dynamics During Phacoemulsification—Reply

Intraoperative Optical Coherence Tomography Guided Imaging of Incision-Site Descemet Membrane... Letters While this is a rare condition, ophthalmologists should be aware viously used microscope-integrated iOCT to compare the of possible refractive consequences and monitor for and treat incidence and morphological characteristics of incision-site amblyopia promptly. Further studies would be needed to de- DMD in cases undergoing femtosecond laser-assisted cata- termine the longitudinal visual relevance of these findings. ract surgery and conventional phacoemulsification. They ob- served that initial incision morphology is the single most im- Karen W. Jeng-Miller, MD, MPH portant determinant influencing wound-site DMD. Maan Alkharashi, MD The authors suggest that friction of surgical instruments Anne Fulton, MD has the greatest association with incisional DMD; however, they Yoshihiro Yonekawa, MD have not elaborated on the morphological characteristics of clear corneal incision (CCI) as observed under the operating Author Affiliations: Ophthalmic Consultants of Boston, Boston, Massachusetts microscope. Incision-site DMD is essentially the result of lo- (Jeng-Miller); New England Eye Center, Tufts Medical Center, Boston, calized wound site Descemet membrane disturbance that pro- Massachusetts (Jeng-Miller); Pediatric Ophthalmology Service, Boston gresses to a clinically evident DMD during subsequent surgi- Children's Hospital, Harvard Medical School, Boston, Massachusetts (Alkharashi, Fulton); Department of Ophthalmology, College of Medicine, King cal manipulations. Saud University, Riyadh, Saudi Arabia http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png JAMA Ophthalmology American Medical Association

Intraoperative Optical Coherence Tomography Guided Imaging of Incision-Site Descemet Membrane Dynamics During Phacoemulsification—Reply

Dai, Ye; Luo, Lixia; Liu, Yizhi
JAMA Ophthalmology , Volume 139 (8) – Aug 1, 2021
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References (6)

Publisher
American Medical Association
Copyright
Copyright 2021 American Medical Association. All Rights Reserved.
ISSN
2168-6165
eISSN
2168-6173
DOI
10.1001/jamaophthalmol.2021.2107
Publisher site
See Article on Publisher Site

Abstract

Letters While this is a rare condition, ophthalmologists should be aware viously used microscope-integrated iOCT to compare the of possible refractive consequences and monitor for and treat incidence and morphological characteristics of incision-site amblyopia promptly. Further studies would be needed to de- DMD in cases undergoing femtosecond laser-assisted cata- termine the longitudinal visual relevance of these findings. ract surgery and conventional phacoemulsification. They ob- served that initial incision morphology is the single most im- Karen W. Jeng-Miller, MD, MPH portant determinant influencing wound-site DMD. Maan Alkharashi, MD The authors suggest that friction of surgical instruments Anne Fulton, MD has the greatest association with incisional DMD; however, they Yoshihiro Yonekawa, MD have not elaborated on the morphological characteristics of clear corneal incision (CCI) as observed under the operating Author Affiliations: Ophthalmic Consultants of Boston, Boston, Massachusetts microscope. Incision-site DMD is essentially the result of lo- (Jeng-Miller); New England Eye Center, Tufts Medical Center, Boston, calized wound site Descemet membrane disturbance that pro- Massachusetts (Jeng-Miller); Pediatric Ophthalmology Service, Boston gresses to a clinically evident DMD during subsequent surgi- Children's Hospital, Harvard Medical School, Boston, Massachusetts (Alkharashi, Fulton); Department of Ophthalmology, College of Medicine, King cal manipulations. Saud University, Riyadh, Saudi Arabia

Journal

JAMA Ophthalmology – American Medical Association

Published: Aug 1, 2021

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