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Response to Comment on: Preoperative fundoscopy versus optical coherence tomography to detect occult maculopathy during cataract surgery preassessment

Eye volume 37, page 3879 (2023)Cite this article

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To the Editor:

We thank M. Leyland for the letter and are glad he agrees that ocular coherence tomography (OCT) has a greater sensitivity than fundoscopy. However, we are equally surprised they still suggest against utilising it due to time, money and data storage issues. 12.8% of the cases in our study had ‘occult maculopathy’, detectable only on OCT and not on slit-lamp indirect ophthalmoscopy (SLIO). However, this does not mean that the maculopathy not detectable by SLIO or that the maculopathy detected only by OCT is clinically insignificant. OCT picked up 26 (4.2%) more patients with epiretinal membrane (ERM), 19 (3%) more with vitreomacular traction (VMT), 25 (4%) more with dry age-related macular degeneration (AMD), 5 (0.8%) more with lamellar macular hole (LMH), 2 (0.3%) more with cystoid macular oedema (CMO) and 1 (0.2%) more with wet AMD [1].

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References

  1. Murphy G, Owasil R, Kanavati S, Ashena Z, Nanavaty MA. Preoperative fundoscopy versus optical coherence tomography to detect occult maculopathy during cataract surgery preassessment. Eye (Lond). 2023;37:665–9. https://doi.org/10.1038/s41433-022-02027-0.

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Authors and Affiliations

  1. Sussex Eye Hospital, University Hospitals Sussex NHS Foundation Trust, Eastern Road, Brighton, BN2 5BF, UK

    George Murphy & Mayank A. Nanavaty

  2. Brighton & Sussex Medical School, University of Sussex, Falmer, Brighton, BN1 9PX, UK

    Mayank A. Nanavaty

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  1. George Murphy
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  2. Mayank A. Nanavaty
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Correspondence to Mayank A. Nanavaty.

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Murphy, G., Nanavaty, M.A. Response to Comment on: Preoperative fundoscopy versus optical coherence tomography to detect occult maculopathy during cataract surgery preassessment. Eye 37, 3879 (2023). https://doi.org/10.1038/s41433-023-02614-9

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  • DOI: https://doi.org/10.1038/s41433-023-02614-9

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