All cases used the Alcon 23-gauge system (Alcon, Hünenberg, Switzerland), and cannulas were placed using a beveled (15°-20°) approach. The infusion pressure is set at 20 mm Hg as the cannulas are removed, and the threshold for placing a suture is low, since the gut sutures appear to be well tolerated by patients. Any evidence of bleb formation is an indication for a suture. A 1- to 2-mL air bubble may be used as a tamponade also if wound leakage appears to be significant. The 6-0 plain gut technique involves passage of the needle through the conjunctiva and partial-thickness sclera, but the ends are not tied (video). An Ethicon 1735G needle (spatula) (Ethicon, Cincinnati, Ohio) is used. Compression of the conjunctiva over the wound using a cotton-tipped applicator to push aside blood and fluid is sometimes needed to allow visualization of the sclerotomy for accurate suture placement. The plain gut suture is pulled through the wound until approximately 2 cm remains outside the wound. The distal 5 mm of plain gut suture is then crushed with the needle holder into a flat “tape,” approximately 0.3 to 0.4 mm wide, and then the suture is pulled further into the wound until the distal end disappears under the conjunctiva. Once this occurs, the proximal edge is trimmed flush so that the suture has no ends protruding through the conjunctiva. At this point, the flat “tape” traverses the wound. A cotton tip applicator is used to massage the conjunctiva so the plain gut suture has no exposed ends.