We believe that Burchfield et al1 and Rosenberg and Siegfried2 made an important contribution with their case reports of endophthalmitis associated with releasable sutures. In their case report, Burchfield et al1 describe that "the free corneal ends were buried" in the cornea, yet their accompanying figure seems to show a loose end of suture on the corneal surface. Rosenberg and Siegfried2 mention that "the ends of the releasable suture on the cornea were cut to approximately 2 mm of exposed length." Both groups of authors discuss the benefit of burying the suture end within the cornea, as has been described by Kolker et al,3 to avoid the "windshield-wiper effect."
We have found that placing the 2 partial-depth corneal suture segments close to each other, with minimal exposed suture between them, almost always results in epithelialization over the short segment of exposed suture. As a result,
Cohen JS, Osher RH. Endophthalmitis Associated With Releasable Sutures. Arch Ophthalmol. 1997;115(2):292. doi:10.1001/archopht.1997.01100150294031