Concurrent Endophthalmitis and Anterior Segment Ischemia After Strabismus Surgery

Smith, Jesse M.; Hwang, Richard Y.; Siringo, Frank S; Quiroz‐Mercado, Hugo; Oliver, Scott C. N.; Mandava, Naresh; Mathias, Marc T; Olson, Jeffrey L.

doi:10.1097/icb.0000000000000315

Cited by 3 publications

(1 citation statement)

References 9 publications

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“…Several cases are on record in which the patients developed anterior segment ischemia after surgery on just two opposing rectus muscles. [5][6][7][8] It presents with ocular pain, blurred vision within 24 hrs of surgery. Clinical signs include microcystic epithelial edema and marked thickening of the cornea.…”

Section: Post-operative Complications Under Corrections and Over Corr...mentioning

confidence: 99%

Strabismus surgery complications

2020

IJCEO

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Serious complications during or after strabismus surgery are infrequent. This article gives a brief idea of the complications either local or systemic that can occur during or after squint surgery. Meticulous hemostasis is required at each step in the procedure, whichever conjunctival approach to the muscle is used. Particular caution is required with patients who have thin sclera (such as myopes), have a history of scleritis, previous scleral procedures. The surgeon must be aware of the detailed surgical anatomy of extraocular muscles (eg.location of contiguous vortex veins, especially during oblique muscle surgery).

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Section: Post-operative Complications Under Corrections and Over Corr...mentioning

confidence: 99%

Strabismus surgery complications

2020

IJCEO

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Orbital cellulitis with choroidal detachment following strabismus surgery in an adult

Kim

Megalla

Howard

et al. 2018

Journal of American Association for Pediatric Ophthalmology and

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Extraocular and Intraocular Infections Following Strabismus Surgery: A Review

Ing¹,

Shortell²,

Golez³

2019

J Pediatr Ophthalmol Strabismus

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An extensive literature review of various types of infections following strabismus surgery was facilitated by using the search engines PubMed and Google Scholar. In both search engines, the phrases “infection following strabismus surgery,” “infection strabismus surgery,” “complications of strabismus surgery,” “endophthalmitis strabismus surgery,” and “strabismus scleral perforation” were used for the review. The type of infection, surface involved, and site of the infection determined the type of therapy. Infections involving deeper tissues, such as periocular infection or orbital cellulitis, required systemic therapy. Sub-Tenon's abscesses required incision and drainage, as well as systemic antibiotics. The development of endophthalmitis following strabismus surgery was rare, but was usually devastating to the visual result. Symptoms of an adverse intraocular condition began by mean postoperative day 3, but the definitive diagnosis and treatment of endophthalmitis was not made until mean postoperative day 6. Despite early detection of this latter type of infection and early surgical intervention with vitreous paracentesis and intraocular injection of antibiotics, the visual result was extremely poor in more than two-thirds of the reported cases. Although there is no known way to truly prevent all infections following strabismus surgery, several techniques may be prudent for the strabismus surgeon to adopt to decrease the bacterial load and minimize the risk of infection. The surgeon should be encouraged to consider preoperative use of povidone-iodine on the operative field and avoid scleral perforation during surgery. [ J Pediatr Ophthalmol Strabismus . 2019;56(4):214–221.]

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Concurrent Endophthalmitis and Anterior Segment Ischemia After Strabismus Surgery

Abstract: Endophthalmitis and anterior segment ischemia are both exceedingly rare complications of strabismus surgery. It is possible that each one occurred independently, but more likely one process potentiated the other. One possible mechanism is inflammation-induced thrombosis.

Cited by 3 publications

References 9 publications

Strabismus surgery complications

Strabismus surgery complications

Orbital cellulitis with choroidal detachment following strabismus surgery in an adult

Extraocular and Intraocular Infections Following Strabismus Surgery: A Review

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