Submited on: 09 Jul 2013 01:00:16 PM GMT
Published on: 10 Jul 2013 04:25:56 AM GMT
Review of technique to create scleral flaps
Posted by Dr. Theodore Leng on 12 Jul 2013 05:32:57 AM GMT

  • What are the main claims of the paper and how important are they?

    The authors report a technique to create a constant thickness scleral flap during trabeculetomy. A smooth scleral bed is important for surgical success.

  • Are these claims novel? If not, please specify papers that weaken the claims to the originality of this one.


  • Are the claims properly placed in the context of the previous literature?


  • Do the results support the claims? If not, what other evidence is required?


  • If a protocol is provided, for example for a randomized controlled trial, are there any important deviations from it? If so, have the authors explained adequately why the deviations occurred?

    There is no mention of an Institutional Review Board review of the experimental protocol nor do they mention compliance with the Declaration of Helsinki.

  • Is the methodology valid? Does the paper offer enough details of its methodology that its experiments or its analyses could be reproduced?

    Yes, but a linked surgical video would better allow readers to replicate the methods.

  • Would any other experiments or additional information improve the paper? How much better would the paper be if this extra work was done, and how difficult would such work be to do, or to provide?

    There could be metrics employed (thickness measurements of the flap). SEM of the scleral bed in animal eyes to show how smooth it really is.

  • Is this paper outstanding in its discipline? (For example, would you like to see this work presented in a seminar at your hospital or university? Do you feel these results need to be incorporated in your next general lecture on the subject?) If yes, what makes it outstanding? If not, why not?

    It is interesting, but not outstanding.

  • Other Comments:


  • Competing interests:
  • Invited by the author to review this article? :
  • Have you previously published on this or a similar topic?:
  • References:
  • Experience and credentials in the specific area of science:

    I am a practicing Ophthalmologist with experience creating scleral flaps

  • How to cite:  Leng T .Review of technique to create scleral flaps[Review of the article 'Tips to Create Smooth Scleral Beds under Scleral Flaps: Theory and Preliminary Results ' by Sato K].WebmedCentral 2013;4(7):WMCRW002793
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