We thank Drs Gupta and Ram for their interest and comments on our recent publication about the outcomes of deep anterior lamellar keratoplasty in children less than 18 years.

We agree with their first comment about the discrepancy in the number of patients mentioned in the abstract and the main manuscript. We would like to clarify that at the final follow-up, 18 eyes had clear graft in the pupillary axis area. We regret this typographical error, as patients had been inadvertently mentioned instead of eyes. Secondly, the authors wish to know the standard deviation of the thinnest pachymetry in our study. In our study of 20 eyes, the mean thinnest pachmetry was 334.2 ± 25.78 μm (range, 293–385 μm). The details of all the eyes are presented in Table 1 in our article.

Thirdly, we prefer to continue patients on low-potency steroids twice a day for long term as a prophylaxis against stromal rejection, until and unless contraindicated on account of glaucoma. Topical cyclosporine drops have not been conclusively proven to reduce the risk of graft rejection, and hence were not preferred. They were, however, added whenever there was recrudescence of associated vernal keratoconjunctivitis during the follow-up.

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Jan 6, 2017 | Posted by in OPHTHALMOLOGY | Comments Off on Reply

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