Sir,First, we express our heartfelt thanks for your close reading and comments on my article.[1] As mentioned in your letter, this case should be labeled as a “penetrating injury” instead of “perforating injury” according to the Birmingham Eye Trauma Terminology system (BETT). I agree with you and thank you for your pointing that out. And for the treatment, there are various viewpoints debating endlessly. Hence, I think we still have a long way to go for verifying the prognosis.As is widely known, the Traditional Chinese Medicine shows clearly difference from the Western medicine. Only a professional acupuncture therapist can manipulate acupuncture therapy. In this case, the patient did not come to our hospital until 3 days later after he injured by the needle, and thus, we could not know well the detailed manner of his injury.In general, acupuncture needles are disinfected for inserting the tips through the skin to the special acupoints to achieve the purpose of treatment. As for this case, the wound was clear without obvious clinical features of endophthalmitis. Therefore, we did not act intravitreal antibiotics but only antibiotic eye drops and ointments for external use. Moreover, after a long time of the operation until now, his eye condition recovered well.