We appreciate Dr Perry's keen interest in our study. The IONTS was transformed into an observational study because of insufficient eligible patients. The authors observed that their study lacks standardization of visual acuity testing, has a bias of timing of initial visual examination, and includes the patients who were not seen immediately after injury.1
Gupta AK. Treatment of Traumatic Optic Neuropathy Remains Controversial—Reply. Arch Otolaryngol Head Neck Surg. 2004;130(8):1000–1001. doi:10.1001/archotol.130.8.1000-b
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