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Drs Cohen and Osher describe a useful technique to minimize complications associated with exposed removable sutures. When using this technique, a small epithelial defect results when the suture is removed, but this is usually of negligible consequence. Two additional problems that may be avoided by using this technique include retraction of the suture into the corneal stroma and movement of the free end under fornix-based conjunctival flaps; in both cases, the suture may become inaccessible for removal.Finally, the figure from Burchfield et al was included to illustrate the "windshield-wiper effect" and does not represent the patient described. We apologize for any confusion.
Burchfield JC, Kolker AE, Siegfried CJ, Cook SG, Rosenberg LF. Endophthalmitis Associated With Releasable Sutures-Reply. Arch Ophthalmol. 1997;115(2):292. doi:10.1001/archopht.1997.01100150294032