The Editorial Executive Committee welcomes letters, which should be less than 250 words. Before a decision to publish is made, letters which refer to a published article may be sent to the author for a response. Any letter may be sent to an expert for comment. When letters are published, they are usually accompanied in the same issue by their responses or comments. The Committee screens out discourteous, inaccurate or libellous statements. The letters are sub-edited before publication. Authors are required to declare any conflicts of interest. The Committee's decision on publication is final.
Letter to the editor
Editor, Associate Professor Hector Maclean's article on 'Eye infections' (Aust Prescr 1994;17:66-8) has a misleading synopsis. It states 'although a chalazion will eventually settle spontaneously, a recurrence is an indication for a biopsy to exclude malignancy.' Infection in a chalazion may well resolve, most do not. The
chalazion itself will not resolve until it is curetted and, unless adequate treatment is carried out, will almost certainly recur. So the synopsis should read: a recurrence following adequate treatment is an indication for biopsy
to exclude malignancy.
Editor, Associate Professor Maclean points out in his article regarding eye infections that blepharitis is probably the most common external eye infection.
Whilst the treatment that he recommends cannot be criticised, by far the most common cause of severe blepharitis is in association with acne rosacea. This condition and its associated corneal ulceration is exquisitely sensitive to a prolonged course of doxycycline. This needs to be given as 100 mg per day for 4-6 weeks and provides long lasting symptomatic relief of this recurring problem.
- HuberSpitzy V, Baumgartner I, Bohler Sommeregger K, Grabner G. Blepharitis a diagnostic and therapeutic challenge. A report on 407 consecutive cases. Graefes Arch Clin Exp Ophthalmol 1991;229:224-7.