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To the Editor.
—Bacterial endophthalmitis has occurred in virtually all intraocular surgical procedures. Therefore, the eventual documentation of endophthalmitis following sutureless cataract surgery as reported in the November 1991 issue of the Archives should not be unanticipated. The recommendation by Stonecipher et al that the postsurgical wound must be carefully examined for wound leakage with any closure technique is a valid point. The surgical judgment and skill of the ophthalmic surgeon is required and necessary to ensure a "watertight" closure, regardless of whether the wound is sutured or not. The blanket recommendation based on case reports that all wounds need to be sutured as suggested by Stonecipher et al and the delegation of sutureless cataract surgery to "experimental" by Hessburg et al does not logically follow from the facts presented and is not valid. The authors of these articles present no compelling scientific evidence that the etiology of endophthalmitis is
Anderson CJ. Infectious Endophthalmitis Following Sutureless Cataract Surgery. Arch Ophthalmol. 1992;110(7):914. doi:10.1001/archopht.1992.01080190019007