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August 1978

Transcorneal Suture Techniques

Author Affiliations

Clayton, Mo

Arch Ophthalmol. 1978;96(8):1466. doi:10.1001/archopht.1978.03910060200023

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To the Editor.  —The tragedy of the case reported by Abbott and Spencer and entitled: "Epithelialization of the Anterior Chamber After Transcorneal (McCannel) Suture," (Arch Ophthalmol 96:482-484, 1978), should alert us all to the dangers inherent in any technique in which inadequate wound closure may be compounded by a through-and-through seton, such as a suture. The case reported and some of the statements made in the paper of Abbott and Spencer, however, merit further analysis and comment.McCannel's original article (Ophthalmic Surg 7:98-103, 1976) reports four different suture techniques. The first is Mackensen's iridectomy repair, which is performed "open sky" and leaves nylon sutures in the iris buried inside the eye. There is nothing transcorneal about this technique.The second and third techniques are for repair of iridodialysis and cyclodialysis. In both of these techniques, sutures are introduced through the cornea as a part of the technique, but the instructions

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