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November 1991

Endophthalmitis Associated With Sutureless Cataract Surgery

Author Affiliations

New Orleans, La

Arch Ophthalmol. 1991;109(11):1499. doi:10.1001/archopht.1991.01080110033021

Sutureless cataract surgery has recently emerged as a new method of performing cataract surgery. The proposed benefits include decreased postoperative astigmatism and faster visual recovery. Several ophthalmologists have advertised this surgery as being "state of the art." One must remember that state of the art is not necessarily synonymous with "standard of care" or "standard practice."

See also p 1562.

Our experience with the postoperative complications of this technique leads us to have serious reservations regarding its safety (risk-benefit ratio).

Report of a Case.  —A 53-year-old man was referred for evaluation of possible endophthalmitis. Approximately 2 weeks earlier he had undergone sutureless cataract surgery with implantation of a posterior chamber intraocular lens. Five days before being examined by us, he underwent an intraocular lens exchange because the original lens had the incorrect power. This surgery was performed through the original incision and was also "closed" without a suture.Our examination

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