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Letters COMMENT & RESPONSE thors comment on whether this finding affected interpreta- tion of their results? Questions on a Study on the Effects of Flavanol-Rich Dark Chocolate Jeff C. Rabin, OD, MS, PhD on Visual Function and Retinal Perfusion Paulo Carvalho, MSc, PhD To the Editor Siedlecki et al compared dark (DC) and milk choco- Cynthia E. Franklin, BS, MSCI late (MC) consumption on optical coherence tomography an- Author Affiliations: Rosenberg School of Optometry, University of the giography (OCT-A), visual acuity (VA), and large-letter contrast Incarnate Word, San Antonio, Texas (Rabin); Feik School of Pharmacy, 1 2 sensitivity. Their study was based on Rabin et al, comparing University of the Incarnate Word, San Antonio, Texas (Carvalho, Franklin). DC with MC on VA, large-letter CS, and small-letter CS (SLCS). Corresponding Author: Jeff C. Rabin, OD, MS, PhD, Rosenberg School of While both studies reported minimal VA and large-letter CS ef- Optometry, University of the Incarnate Word, 9725 Datapoint Dr, San Antonio, fects, Rabin et al reported improved SLCS possibly because of TX 78229 (rabin@uiwtx.edu). flavanol-associated increased blood flow, suggesting that SLCS Published Online: May 14, 2020. doi:10.1001/jamaophthalmol.2020.1487 can identify visual acuity changes despite normal VA. The well- Conflict of Interest
JAMA Ophthalmology – American Medical Association
Published: Jul 14, 2020
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