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Systematic analysis of ocular trauma by a new proposed ocular trauma classification

Shukla, Bhartendu

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Indian Journal of Ophthalmology: February 2018 - Volume 66 - Issue 2 - p 348
doi: 10.4103/ijo.IJO_1079_17
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Sir,

At the outset, I thank the commentators for their appreciation of our article.[12] Their concerns have been addressed as below:

  1. Destructive globe injuries are those where structural and functional damage is maximal and recovery is minimal.[12] Intramural foreign bodies are those that lie within the coats of the eyewall (cornea or sclera).[3] They are neither intraocular nor extraocular. They are usually very small and do not cause much structural or functional damage. Hence, they cannot be included in destructive globe injuries
  2. One-third of full-thickness laceration implies one–third of globe circumference. Hence, there is no difference between what we stated in the current classification[2] and what was described earlier[3]
  3. We appreciate the suggestion to reclassify and expand the system as mixed ocular trauma, which is however difficult to implement. The extensive detail in which the ocular foreign bodies were previously classified[3] precludes its clubbing with the current system; the resulting classification would be too bulky and difficult to apply in clinical situations.

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1. Sodhi PK, Verma A. Comment on: Systemic analysis of ocular trauma by a new proposed ocular trauma classification Indian J Ophthalmol. 2018;66:347
2. Shukla B, Agrawal R, Shukla D, Seen S. Systematic analysis of ocular trauma by a new proposed ocular trauma classification Indian J Ophthalmol. 2017;65:719–22
3. Shukla B. New classification of ocular foreign bodies Chin J Traumatol. 2016;19:319–21
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