TITLE:
Ocular Complications of Strabismus Surgery
AUTHORS:
Nazife Sefi Yurdakul, Feray Koç
KEYWORDS:
Complications, Strabismus, Surgery
JOURNAL NAME:
Surgical Science,
Vol.5 No.9,
September
29,
2014
ABSTRACT: Background: To
evaluate ocular complications of strabismus surgery at the Department of Strabismus
and Neuroophthalmology in our clinic. Methods: The medical records of patients
who underwent strabismus surgery between March 1999 and February 2013 were
retrospectively reviewed. Patients with minor ocular complications such as
wound irregularities, conjunctivitis, subconjunctival hemorrhage, and less than
six-month follow-up periods were excluded from the study. Employed strabismus
surgeries included recessions, resections, muscle advancements, inferior oblique
myectomies, and muscle transpositions. Results: Our case series are comprised
of 1468 patients who underwent strabismus surgery. The ages of the patients
ranged from 6 to 80 years. Recognized primary ocular complications were noted
in eight patients (0.5%). Scleral perforation with retinal break was observed
in one myopic patient during retrobulbar anesthesia. Medial rectus rupture
occurred during medial rectus recession in one patient with chronic complete
sixth nerve palsy. Conjunctival cyst occured postoperatively in one patient
with partially refractive accommodative esotropia who had bilateral medial
rectus recession. Corneal dellen developed postoperatively in five patients
with exotropia. Conclusion: Ocular complications of strabismus surgery are
usually treatable. Damage to ocular structures can be prevented by meticulous
surgical approach. Close postoperative follow-up is required in all cases.