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Letters to the Editor

Authors' reply

Biswas, Jyotirmay; S, Sudharshan

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Indian Journal of Ophthalmology: Mar–Apr 2009 - Volume 57 - Issue 2 - p 164
doi: 10.4103/0301-4738.45518
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Dear Editor,

We appreciate the observations made by Grover et al,[1] in response to our article “Anterior segment manifestations of human immunodeficiency virus (HIV)/acquired immunodeficiency syndrome (AIDS)”.[2]

We agree that the external photograph of the patient with facial skin lesions show more of maxillary herpetic lesions. Our intention was to depict a severe form of herpes zoster lesion in an AIDS patient. A more representative external photograph of herpes zoster ophthalmicus in a patient with AIDS is added with this reply [Fig. 1].

Figure 1
Figure 1:
External photograph of typical herpes zoster ophthalmicus in patient with AIDS

We agree that dacryocystitis, basal cell carcinoma, chalazion, bacterial folliculitis, madarosis, stye, scleritis, episcleritis, complicated cataract are also documented as well as rare anterior segment/adnexal lesions seen in patients with HIV/AIDS.

We have intentionally excluded orbital lesions in our article as we had stressed on anterior segment and common adnexal lesions seen in patients with HIV/AIDS, especially in India.


1. Chandravanshi SL, Rathore MK. Herpes zoster ophthalmicus or herpes zoster maxillaris? Indian J Ophthalmol. 2009;57:163–4
2. Biswas J, Sudharshan S. Anterior segment manifestations of human immunodeficiency virus/acquired immune deficiency syndrome Indian J Ophthalmol. 2008;56:363–75
© 2009 Indian Journal of Ophthalmology | Published by Wolters Kluwer – Medknow