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July 1992

Infectious Endophthalmitis Following Sutureless Cataract Surgery

Author Affiliations

Kissimmee, Fla

Arch Ophthalmol. 1992;110(7):914. doi:10.1001/archopht.1992.01080190019006

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To the Editor.  —I read with great interest the report of infectious endophthalmitis following cataract surgery. Each of these cases of infectious endophthalmitis following sutureless cataract surgery included secondary intraocular procedures, which resulted in the endophthalmitis.I have performed more than 1800 sutureless cataract procedures in the past 2 years and have not had one incidence of endophthalmitis. However, 2½ years ago, I had one case of endophthalmitis after implant exchange. Two days after surgery, the exchanged implant appeared to be out of position and the patient was brought back to the operating room for repositioning of that implant. Four days after surgery, the patient developed fulminant endophthalmitis.I believe that sutureless cataract surgery does not predispose the cataract to endophthalmitis, but it is the reentry into the globe that is responsible for endophthalmitis. I would appreciate the comments of the investigators with regard to this problem.

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