Complications of strabismus surgery

Abstract

All surgeries carry risks of complications, and there is no way to avoid ever having a complication. Strabismus surgery is no different in this regard. There are methods to reduce the risk of a complication during or after surgery, and these steps should always be taken. When a complication occurs, it is important to first recognize it and then manage it appropriately to allow for the best outcome possible. This article will discuss some of the more common and/or most devastating complications that can occur during or after strabismus surgery as well as thoughts on how to avoid them and manage them should they happen.

Changes of Corneal Topographic Measurements and Refractive Errors after Horizontal Muscle Surgery. A Case Series

“…Changes in refractive error have been noted in several studies but the results were debatable. 11 Horizontal strabismus surgery has been shown to affect corneal topography. 1 This study observed the effect of two different techniques: single lateral rectus (LR) recession in group A and medial rectus (MR) resection with LR recession in the same eye in Group B.…”

Four-dimensional Microscope-Integrated Optical Coherence Tomography to Visualize Suture Depth in Strabismus Surgery

“…Rates of scleral perforation have been reported in 2.8% of strabismus surgeries, which may be an underestimation since many patients are evaluated for this complication only if the surgeon subjectively senses that the needle has advanced too deep. 1,2 Scleral perforations have been associated with serious ocular sequelae, including retinal detachment and endophthalmitis. 3 …”

The Comparison of the Strabismus Cases Who Underwent Conventional Recession Surgery with the Cases Who Underwent Hang-Back Recession

“…Horizontal rektus kasının skleraya direkt sütüre edilmesi sonrası klinik önemi her olguda bilinmemekle beraber %0,4 ile %2,8 arası oranlarda retinada mikroperforasyonlar bildirilmiştir (6) . Bunun yanında, maksimum cerrahi planlanan olgularda kasın insersiyon yerinden çok geriye sütüre edilmesi teknik olarak zor olduğu gibi, konjonktivada istenmeyen yırtıklara ve kontrolsüz cerrahiye neden olabilmektedir (7) .…”