Author's response: Maximizing the visual outcome in traumatic cataract cases: the value of a primary posterior capsulotomy and anterior vitrectomy.

Dear Sir,

First of all we are thankful to you for your interest and inputs. Primary posterior capsulotomy and vitrectomy procedure done in the absence of poster capsular tear is a special procedure by vitreo rhexis. It is not only to prevent capsular opacification, but to avoid secondary cataract and recurrent inflammation of anterior vitreous.[12]

Erie et al. reported incidence of retinal detachment in case of the posterior capsular rent in case of normal cataract, this study is all about traumatic cataract so normal and post trauma cataracts are not comparable.[123]

With the emergence of high speed vitrectomy machines and cutters, incidence of iatrogenic break and retinal detachment following shallow anterior vitrectomy is minimal.[45]

Nd: YAG may cause may cause increase incidence of retinal break and retinal detachment.[6]

The primary objective of this study was to study the effect of primary posterior capsulotomy on final visual outcome in the case of traumatic cataract.[12]

It is important to have long-term follow-up, but this study is about traumatic cataract, trauma may have many co morbidities, which may also cause damage other than posterior capsulotomy.[2] We may follow-up these cases way forward for a longer period.