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July 1992

Infectious Endophthalmitis Following Sutureless Cataract Surgery-Reply

Author Affiliations

New Orleans, La

Arch Ophthalmol. 1992;110(7):915. doi:10.1001/archopht.1992.01080190019010

In Reply.  —From the viewpoint of an ophthalmic surgeon, endophthalmitis represents one of the most dreaded complications following elective intraocular surgery. With the development of new "sutureless" cataract techniques, the riskbenefit ratio with regard to complications and eventual visual outcome is always of utmost importance. Dr Brint states that his "immediate postoperative hyphema rate is virtually zero." Kondrot,1 during his lecture on sutureless cataract surgery at the 1991 American Academy of Ophthalmology meeting, reported nearly a 10% incidence of hyphema. Sutureless cataract surgery represents a recent modification of standard small-incision procedures in an attempt to reduce postoperative astigmatism. Steinert et al2 reported only a 0.21-diopter difference in astigmatism 3 months after surgery when he compared small-incision (4.0 mm) and "conventional" (6.5 mm) techniques. Just as cataract extraction techniques are variable, "sutureless" techniques are also not entirely uniform. As previously reported by Kattan et al,3 the incidence of

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