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Suturing Technique
PERIPHERAL IRIDECTOMIES
letters to the editor This section is an open forum and consists of the opinions and personal commentary of the writers. The views expressed are exclusively those of the writers and do not purport to reflect those of AlOIS or the Journal.
To the Editor: P. J. Simel, in his article "Posterior chamber implants without iridectomy," in your Journal (Am Intra-Ocular Implant Soc J 8(2):141, Spring, 1982), presented excellent follow up details and results on five hundred patients who had posterior chamber lens implants. He suggests that in these cases peripheral iridectomy may no longer be necessary. Recently, it has been stated by others that "The time has come to examine more closely the advantages versus the disadvantages of peripheral iridectomy in cataract surgery where a posterior chamber lens has been inserted" (Shulze RR, Copeland JR: Posterior chamber intraocular lens inplantation without peripheral iridectomy-a preliminary report. Ophthalmic Surgery 13(7):567, July 1982). It is interesting and important to know that many times a peripheral iridectomy may not be essential; however to state, as others have, that it may lead to unnecessary complications in itself, such as hemorrhage or pigment disturbance, needs to be questioned. In this same sort of cataract procedure, we routinely do peripheral iridectomies for an entirely different indication. We feel the peripheral iridectomy is highly desirable as the best site to perform posterior capsulotomies, either at the time of surgery or secondarily. This point is debatable; but be that as it may, there is still a place for the peripheral iridectomy in cataract extraction with posterior chamber implants. H. Wade Faulkner, M.D.
Mobile, Alabama
SUTURING TECHNIQUE
To the Editor: I have just read the article on suturing technique of Simcoe in the 1981 fall issue of the American IntraOcular Implant Society Journal. I object to his assumption that short deep bites in corneal suturing seem to cause less postoperative astigmatism than longer one. I feel that the important point is to have the deep bites, whether they are longer or shorter is not important, and I have described this several times. 1,2 When the tissues are not particularly healthy, it is better to use longer bites. Louis J. Girard, M.D. Houston, Texas
1. Girard LJ: Depths of sutures in corneal surgery. In: Proceedings of the Third Biennial Cataract Congress, St. Louis, MosbyTimes-Mirror, 1975:95-98 2. Girard LJ: Corneal Surgery, Volume II, eLV. St. Louis, Mosby, 1980 370
AM INTRA-OCULAR IMPLANT SOC J-VOL. 8, FALL 1982
letters to the editor This section is an open forum and consists of the opinions and personal commentary of the writers. The views expressed are exclusively those of the writers and do not purport to reflect those of AlOIS or the Journal.
To the Editor: P. J. Simel, in his article "Posterior chamber implants without iridectomy," in your Journal (Am Intra-Ocular Implant Soc J 8(2):141, Spring, 1982), presented excellent follow up details and results on five hundred patients who had posterior chamber lens implants. He suggests that in these cases peripheral iridectomy may no longer be necessary. Recently, it has been stated by others that "The time has come to examine more closely the advantages versus the disadvantages of peripheral iridectomy in cataract surgery where a posterior chamber lens has been inserted" (Shulze RR, Copeland JR: Posterior chamber intraocular lens inplantation without peripheral iridectomy-a preliminary report. Ophthalmic Surgery 13(7):567, July 1982). It is interesting and important to know that many times a peripheral iridectomy may not be essential; however to state, as others have, that it may lead to unnecessary complications in itself, such as hemorrhage or pigment disturbance, needs to be questioned. In this same sort of cataract procedure, we routinely do peripheral iridectomies for an entirely different indication. We feel the peripheral iridectomy is highly desirable as the best site to perform posterior capsulotomies, either at the time of surgery or secondarily. This point is debatable; but be that as it may, there is still a place for the peripheral iridectomy in cataract extraction with posterior chamber implants. H. Wade Faulkner, M.D.
Mobile, Alabama
SUTURING TECHNIQUE
To the Editor: I have just read the article on suturing technique of Simcoe in the 1981 fall issue of the American IntraOcular Implant Society Journal. I object to his assumption that short deep bites in corneal suturing seem to cause less postoperative astigmatism than longer one. I feel that the important point is to have the deep bites, whether they are longer or shorter is not important, and I have described this several times. 1,2 When the tissues are not particularly healthy, it is better to use longer bites. Louis J. Girard, M.D. Houston, Texas
1. Girard LJ: Depths of sutures in corneal surgery. In: Proceedings of the Third Biennial Cataract Congress, St. Louis, MosbyTimes-Mirror, 1975:95-98 2. Girard LJ: Corneal Surgery, Volume II, eLV. St. Louis, Mosby, 1980 370
AM INTRA-OCULAR IMPLANT SOC J-VOL. 8, FALL 1982