To the Editor:

We thank Ahmad and Malhotra for their interest in our recent paper describing a case of ocular surface breakdown in the immediate time-period following uneventful cataract surgery [1]. In our paper, we suggested that the mechanism of action for this corneal disruption was post-operative Mask-Associated Dry Eye (MADE), which resolved promptly with cessation of mask use and standard eyedrops [2]. Their oculoplastic review of our clinical images raised the possibility in their minds that the observed ocular signs could also be associated with upper eyelid meibomian-gland inversion (MGI) and an early marginal entropion [1].

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