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July 1992

Infectious Endophthalmitis Following Sutureless Cataract Surgery-Reply

Author Affiliations

Washington, DC

Arch Ophthalmol. 1992;110(7):914. doi:10.1001/archopht.1992.01080190019008

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In Reply.  —While a "straw poll" may be an initial way of gaining some insight into outcomes of a particular surgical event, it certainly cannot replace a properly designed prospective study. The potential problems with variable follow-up, nonrepresentiveness of patients, ascertainment of events, and similar issues emphasize the need for well-controlled research. The authors and their colleagues clearly have the patient volume to conduct a randomized trial of sutureless vs standard extracapsular cataract extraction to assess which approach provides better visual outcomes, fewer complications, and greater patient quality of life and satisfaction. A study of this nature would be of major value to the entire community.

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