We thank Dr Bloom for his thoughtful comments on our article.1
Salamon and associates2 describe one
case of endophthalmitis that developed after scleral perforation. They presumed
that a similar perforation occurred in the second case, although surgeon observation
and pathologic examination failed to produce evidence to support this hypothesis
beyond reasonable doubt. Kushner and Meyers3
describe a case of endogenous endophthalmitis unassociated with perforation.
Rosenbaum4 references Reinecke's communication
about endophthalmitis that developed secondary to a suture abscess in the
absence of scleral perforation. We believe that these cases do not support
the conclusion that all cases of endophthalmitis following strabismus surgery
result from scleral perforation. We maintain that the development of endophthalmitis
following strabismus surgery neither requires nor implies that perforation
Vrabec TR. Does Endophthalmitis Following Strabismus Surgery Require Scleral Perforation? Arch Ophthalmol. 2001;119(5):784. doi:
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