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August 1978

Transcorneal Suture Techniques-Reply

Author Affiliations

San Francisco

Arch Ophthalmol. 1978;96(8):1466. doi:10.1001/archopht.1978.03910060200024

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In Reply.  —Dr Drews is correct in pointing out that the article by McCannel describes several suture techniques. The procedure performed by the surgeon in the case that we reported was the one described for iridodialysis repair and not the procedure for repositioning a dislocated intraocular lens. The inclusion of the suture advocated by Dr Alpar for fixation of intraocular lenses was an error on our part.Neither the text nor the diagrams in McCannel's article are clear about the type of flap to be used. In the case reported, the surgeon used a fornixbased flap. The surgeon is certain that the leak occurred along the inferior suture and states that when the suture was removed "the leak closed spontaneously, the pressure rose into the glaucomatous range, and the appearance of a membrane on the posterior cornea developed." We have interpreted the surgeon's statement and the clinical, as well as

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