key: cord-0931119-pj1a5efz authors: Sriwijitalai, Won; Wiwanitkit, Viroj title: Re: “Thyroid Eye Disease Following COVID-19 Vaccine in a Patient With a History Graves’ Disease: A Case Report” date: 2022-01-04 journal: Ophthalmic Plast Reconstr Surg DOI: 10.1097/iop.0000000000002125 sha: e00c93ea171f2e07b0751586663e5283c1cdaf2e doc_id: 931119 cord_uid: pj1a5efz nan literature review; however, this was due to some differences in the measured outcomes of the 2 studies that we would like to highlight. The primary and secondary outcomes of the authors′ (Adam et al.) 1 study was not the presence of suture related keratopathy, but rather subjective patient comfort using specific descriptors for discomfort including foreign body sensation, gritty feeling, and pain from the Ocular Surface Disease Index. 2 Meanwhile, there is no mention of patient comfort or suture keratopathy in the outcomes of the article from Samimi et al. 3 Thus, while Samimi et al. had tremendous outcomes of an absence of suture keratopathy using their modified method, it is entirely possible that those patients still could have had subjective discomfort in the absence of corneal abrasion and could have benefitted from a bandage contact lens in the first week after FS surgery. It cannot be said definitively from their study that the patients did not experience foreign body sensation postoperatively, and that sensation would not have been improved with a bandage contact lens (BCL). Additionally, in the authors′ clinical experience performing the FS procedure using both gut and prolene sutures, both groups endorse foreign body sensation in the week postoperatively, despite no objective suture keratopathy. Since suture keratopathy is still a potential complication of FS surgery given that the original FS technique is still widely performed, 4 that BCL is used for postoperative comfort in many other ocular surgeries, 5,6 and the rate of complications of BCL such as microbial keratitis, transient corneal hypoxia, and displacement into the fornix is low, 7-9 the authors still believe that using a BCL to increase patient satisfaction and comfort after bilateral FS surgery is of great benefit, and these benefits greatly outweigh the risks of using a BCL, even in the absence of true suture keratopathy. Reply re: "Thyroid Eye Disease Following COVID-19 Vaccine in a Patient With a History Graves' Disease: A Case Report" To the Editor: I appreciate the comments by Drs. Sriwijitalai and Wiwanitkit to the article "Thyroid Eye Disease Following Thyroid eye disease following COVID-19 vaccine in a patient with a history Graves' disease: a case report Recurrence of Graves' disease (a Th1-type cytokine disease) following SARS-CoV-2 mRNA vaccine administration: a simple coincidence? Thyrotoxicosis after COVID-19 vaccination Expected viscosity after COVID-19 vaccination, hyperviscosity and previous COVID-19 Observation on blood stasis and immune function in patients with exophthalmos at a stable stage of hyperthyroidism The role of postoperative bandage contact lens in patients undergoing fasanella-servat ptosis repair Evaluating the functional impact of dry eye: the ocular surface disease index The modified Fasanella-Servat procedure: description and quantified analysis Fasanella-Servat procedure: indications, efficacy, and complications Clinic study on silicone hydrogel contact lenses used as bandage contact lenses after LASEK surgery Efficacy of 2 types of silicone hydrogel bandage contact lenses after photorefractive keratectomy Incidence of keratitis of varying severity among contact lens wearers Episodes of microbial keratitis with therapeutic silicone hydrogel bandage soft contact lenses The use of bandage contact lenses in adenoviral keratoconjunctivitis The authors have no financial or conflicts of interest to disclose.