Correspondence

Reply

“…1 The authors propose an alternative interpretation for some of our findings, for example, an alternative inflammatory mechanism for the choroidal changes seen before and after treatment, by inadvertently including cases of punctate inner choroidopathy (PIC) or idiopathic multifocal choroiditis (iMFC) in pathologic myopia. 2 Regarding the resemblance of lesions in Figure 1 to the acute findings of PIC/iMFC, 3 we agree that, in this particular case, the slight posterior hypertransmission on the spectral domain optical coherence tomography may be confounding. However, in our case, the focal atrophy did not correspond to the preretinal exudation seen in eyes with PIC/iMFC.…”

“…PVR is well-known to be a leading cause of recurrent RRDs after initial surgery occurring in 5% to 11% of cases. 2 In addition, the authors state that preoperative characteristics including presence of PVR during RRD repair, scleral buckle placement, and retinectomy during initial RD repair did not affect the rate of redetachment after SOR. However, the risk of redetachment after SOR has been reported 15.9% -31.8% in PVR cases.…”

“…The authors propose an alternative interpretation for some of our findings, for example, an alternative inflammatory mechanism for the choroidal changes seen before and after treatment, by inadvertently including cases of punctate inner choroidopathy (PIC) or idiopathic multifocal choroiditis (iMFC) in pathologic myopia. 2…”

Reply

“…He also observed that the distinctive hyperreflective border seen on nearinfrared reflectance (NIR) imaging correlated to the vertical hyperreflective lesions on OCT and likely represented BA-LAD angles and contended that this imaging feature could be an adjunctive hint to detect BALAD associated with AIM. 1 Furthermore, he proposed that the surrounding hyperautofluorescent border on fundus autofluorescence (AF) is emanated from the vertical accumulation of dispersed fluorophores and photoreceptor outer segments.…”

“…We thank Dr. Ramtohul Prithvi for his letter 1 referencing our recent article entitled “Acute Idiopathic Maculopathy: A Proposed Disease Staging Based on Multimodal Imaging,” 2 and we are pleased for the opportunity to respond to his comments.…”