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July 1992

Infectious Endophthalmitis Following Sutureless Cataract Surgery

Author Affiliations

Bloomington, Ill

Arch Ophthalmol. 1992;110(7):913-914. doi:10.1001/archopht.1992.01080190019005

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To the Editor.  —The case reported by Hessburg and coworkers was not an uncomplicated case, but was one that had a secondary lens exchange through a previous "sutureless" incision. Two of the three cases reported by Stonecipher et al were also not uncomplicated. Case 1 was a wound gap with an inadvertent filtering bleb. Case 2 related to intraocular manipulation through the cataract incision in the early postoperative period to attempt to remove a hyphema. The third case was of late endophthalmitis occurring approximately 4 months following cataract surgery. In at least three of these four cases reported, there was additional intraocular manipulation or an improperly performed wound technique that can be implicated in the development of endophthalmitis. Hessburg and coworkers describe their serious reservations regarding this surgery and suggest that this is an experimental technique that should be investigated accordingly. Stonecipher et al also comment that maintenance of wound

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