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Obviating Endophthalmitis After Cataract Surgery: Excellent Wound Closure Is the Key

Rahul Dubey, MBBS(Hons), MM(Clin Epi), MM(Ophth Sci); Daniel J. Brettell, BSc(Med), MBBS; Jess Montfort, BSc, MBBS; Minas T. Coroneo, MD, MS, MSc, FRACS, FRANZCO; Ian C. Francis, PhD, FRACS, FRANZCO
Arch Ophthalmol. 2011;129(11):1504-1505. doi:10.1001/archophthalmol.2011.322.
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We congratulate Dr Raizman on his excellent, timely Editorial1 in the April 2011 issue of the Archives. In discussing the importance of adequate wound closure in his final paragraph, we believe he has highlighted the single most important factor in preventing endophthalmitis after cataract surgery.

We in the state of New South Wales, Australia, have repeatedly published that we unfortunately own the highest documented endophthalmitis rate in the world.2,3 We believe this is due to failure to achieve “excellent closure of the incisions.”1(p502)


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November 1, 2011
Michael B. Raizman, MD
Arch Ophthalmol. 2011;129(11):1504-1505. doi:10.1001/archophthalmol.2011.323.
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