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Endophthalmitis Associated With Releasable Sutures

Endophthalmitis Associated With Releasable Sutures Abstract We believe that Burchfield et al1 and Rosenberg and Siegfried2 made an important contribution with their case reports of endophthalmitis associated with releasable sutures. In their case report, Burchfield et al1 describe that "the free corneal ends were buried" in the cornea, yet their accompanying figure seems to show a loose end of suture on the corneal surface. Rosenberg and Siegfried2 mention that "the ends of the releasable suture on the cornea were cut to approximately 2 mm of exposed length." Both groups of authors discuss the benefit of burying the suture end within the cornea, as has been described by Kolker et al,3 to avoid the "windshield-wiper effect." We have found that placing the 2 partial-depth corneal suture segments close to each other, with minimal exposed suture between them, almost always results in epithelialization over the short segment of exposed suture. As a result, References 1. Burchfield JC, Kolker AE, Cook SG. Endophthalmitis following trabeculectomy with releasable sutures . Arch Ophthalmol . 1996;114:766.Crossref 2. Rosenberg LF, Siegfried CJ. Endophthalmitis associated with a releasable suture . Arch Ophthalmol . 1996;114:767.Crossref 3. Kolker AE, Kass MA, Rait JL. Trabeculectomy with releasable sutures . Arch Ophthalmol . 1994;112:62-66.Crossref 4. Cohen JS, Osher RH. Releasable scleral flap suture . Ophthalmol Clin North Am . 1988;1:187-197. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Endophthalmitis Associated With Releasable Sutures

Archives of Ophthalmology , Volume 115 (2) – Feb 1, 1997

Endophthalmitis Associated With Releasable Sutures

Abstract

Abstract We believe that Burchfield et al1 and Rosenberg and Siegfried2 made an important contribution with their case reports of endophthalmitis associated with releasable sutures. In their case report, Burchfield et al1 describe that "the free corneal ends were buried" in the cornea, yet their accompanying figure seems to show a loose end of suture on the corneal surface. Rosenberg and Siegfried2 mention that "the ends of the releasable suture on the cornea were cut to...
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Publisher
American Medical Association
Copyright
Copyright © 1997 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1997.01100150294031
Publisher site
See Article on Publisher Site

Abstract

Abstract We believe that Burchfield et al1 and Rosenberg and Siegfried2 made an important contribution with their case reports of endophthalmitis associated with releasable sutures. In their case report, Burchfield et al1 describe that "the free corneal ends were buried" in the cornea, yet their accompanying figure seems to show a loose end of suture on the corneal surface. Rosenberg and Siegfried2 mention that "the ends of the releasable suture on the cornea were cut to approximately 2 mm of exposed length." Both groups of authors discuss the benefit of burying the suture end within the cornea, as has been described by Kolker et al,3 to avoid the "windshield-wiper effect." We have found that placing the 2 partial-depth corneal suture segments close to each other, with minimal exposed suture between them, almost always results in epithelialization over the short segment of exposed suture. As a result, References 1. Burchfield JC, Kolker AE, Cook SG. Endophthalmitis following trabeculectomy with releasable sutures . Arch Ophthalmol . 1996;114:766.Crossref 2. Rosenberg LF, Siegfried CJ. Endophthalmitis associated with a releasable suture . Arch Ophthalmol . 1996;114:767.Crossref 3. Kolker AE, Kass MA, Rait JL. Trabeculectomy with releasable sutures . Arch Ophthalmol . 1994;112:62-66.Crossref 4. Cohen JS, Osher RH. Releasable scleral flap suture . Ophthalmol Clin North Am . 1988;1:187-197.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Feb 1, 1997

References