Scleral penetrations and perforations in strabismus surgery and associated risk factors

Effect of Full Tendon Transposition Augmented With Posterior Intermuscular Suture for Paralytic Strabismus

“…12 An inadvertent scleral perforation is a widely recognized complication of strabismus surgery, with a higher incidence in those patients who had Faden operation. [13][14][15][16][17][18][19][20][21] In addition, there is the possibility that the posterior ciliary artery flow can be disrupted by a posterior scleral fixation suture with a resultant anterior segment ischemia. 22 The posterior scleral fixation suture occasionally will result in a limitation of elevation of depression because of the fixation of the vertical muscles to the sclera.…”

Comparison of hang-back and conventional bimedial rectus recession in infantile esotropia

“…The incidence of scleral perforation during strabismus surgery has been decreased over time with a recently reported rate of less than 0.4% [12], although recessions are more often associated with perforation than other types of strabismus procedures [13].…”

Cyanoacrylate adhesive use in primary operation and reoperation in rabbit eye muscle surgery

“…The reported rate of globe perforation during strabismus surgery is 0.13% to 2.7% 15,16 ; this can result in devastating consequences such as retinal detachment or endophthalmitis. Risk factors associated with globe perforation during strabismus surgery include high myopia (presumably due to a thinned sclera), younger age, 16 the type of needle used, 16,17 and the complexity of the procedure (retroequatorial placement of sutures or recession of the inferior oblique).…”