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Debra A. Goldstein, MD; David G. Godfrey, MD; Anthony Hall, MD; David G. Callanan, MD; Glenn J. Jaffe, MD; P. Andrew Pearson, MD; Dale W. Usner, PhD; Timothy L. Comstock, OD

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We appreciate the comments regarding our article¹ on IOP in patients treated with a fluocinolone acetonide implant. The authors suggest that laser trabeculoplasty might be a better treatment option than incisional glaucoma surgery in patients with treatment-resistant elevation of IOP after treatment with the steroid implant. We read their article² with interest, but do not feel that their results can be generalized to the patients with uveitis treated with a fluocinolone implant. They report argon laser trabeculoplasty (ALT) outcomes for 2 patients with elevation of IOP in response to intravitreal triamcinolone.² The results were encouraging, but neither patient had underlying uveitis, and follow-up was only 2 months in both cases. Because patients with uveitis have traditionally not . . . [Full Text of this Article]

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