I would like to congratulate Can et al. on their comparative study of the optical coherence tomography (OCT) appearance of clear corneal incisions (CCIs) in cataract surgery, particularly their demonstration of the detrimental effects of enlarging the wound at the end of surgery. It has been suggested that CCIs are most vulnerable in the immediate postoperative period, when they are susceptible to microleaks causing a decrease in intraocular pressure (IOP).2'3 However, Can et al.1 did not measure the IOP until day 1, by which time IOP would have begun to normalize. Therefore, the eyes in the study with low IOP and endothelial gaping may have been the result of lower IOP in the immediate postoperative period.
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