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July 1992

Infectious Endophthalmitis Following Sutureless Cataract Surgery

Author Affiliations

Tarpon Springs, Fla

Arch Ophthalmol. 1992;110(7):913. doi:10.1001/archopht.1992.01080190019003

To the Editor.  —We read with great interest the case report by Hessburg et al1 and the article by Stonecipher et al2 in the November 1991 issue of the Archives regarding infectious endophthalmitis following sutureless cataract surgery. These reports prompted us to conduct a "straw poll" of four other surgeons who, along with us, have taught courses on sutureless cataract surgery. The following findings have been noted in a telephone conversation with Harry Grabow, MD, Robert G. Martin, MD, Paul Ernest, MD, and Michael McFarland, MD (March 1992).In a series of 27181 consecutive sutureless cataract surgeries, four cases of endophthalmitis (one of 6795) have been noted, an incidence of 0.015%. This incidence of infection is dramatically lower than the 0.13% (one of 800) incidence following extracapsular cataract extraction or phacoemulsification reported by Javitt et al3 and the 0.067% (one of 1500) incidence following extracapsular cataract extraction

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