Author Affiliations: Ophthalmic Consultants of Boston, Tufts Medical Center, Tufts University School of Medicine, Boston, Massachusetts.
Stead and colleagues raise important issues. They demonstrate that the paracentesis can leak after cataract surgery. I agree that any incision into the eye, even a small one, could allow egress of aqueous humor and ingress of material (including organisms) from the ocular surface. However, we should not assume that organisms enter the eye only if there is hypotony. A wound might allow ingress in the presence of a normal intraocular pressure.
Raizman MB. Obviating Endophthalmitis After Cataract Surgery: The Role of the Paracentesis—Reply. Arch Ophthalmol. 2012;130(7):950-951. doi:10.1001/archophthalmol.2012.747