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July 1992

Infectious Endophthalmitis Following Sutureless Cataract Surgery

Author Affiliations

New Orleans, La

Arch Ophthalmol. 1992;110(7):913. doi:10.1001/archopht.1992.01080190019004

To the Editor.  —I read with some concern the report by Hessburg and coworkers regarding a case of endophthalmitis in a patient who had undergone "no-stitch" cataract surgery.The case that was described, I believe, seemed to indicate that the sutureless cataract surgery was performed inappropriately rather than involving an increased risk of endophthalmitis. The essence of sutureless cataract surgery is the anterior corneal lip entrance into the anterior chamber so that the inner corneal surface, once the eye has been repressurized, seals against the outer corneal surface. This provides the self-sealing nature of the wound. The outer part of the wound at the scleral incision site is much less important in the closure.I have been performing sutureless cataract surgery for well over a year in the manner described by Ernest et al,1 Koch,2 and Fine (Ocular Surgery News. May 1,1992:38), and have been extremely pleased with

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