Author Affiliations: Prince of Wales Hospital (Drs Dubey, Brettell, Montfort, Coroneo, and Francis), The University of New South Wales (Drs Dubey, Brettell, Montfort, Coroneo, and Francis), and Chatswood Grove Eye Clinic (Drs Montfort and Francis), Sydney, Australia.
We congratulate Dr Raizman on his excellent, timely Editorial1 in the April 2011 issue of the Archives. In discussing the importance of adequate wound closure in his final paragraph, we believe he has highlighted the single most important factor in preventing endophthalmitis after cataract surgery.
We in the state of New South Wales, Australia, have repeatedly published that we unfortunately own the highest documented endophthalmitis rate in the world.2,3 We believe this is due to failure to achieve “excellent closure of the incisions.”1(p502)
Dubey R, Brettell DJ, Montfort J, Coroneo MT, Francis IC. Obviating Endophthalmitis After Cataract Surgery: Excellent Wound Closure Is the Key. Arch Ophthalmol. 2011;129(11):1504–1505. doi:10.1001/archophthalmol.2011.322