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  • Scleral perforation after strabismus surgery

Scleral perforation after strabismus surgery
Reviewed by Fiona Rowe

3 August 2023 | Fiona Rowe (Prof) | EYE - Paediatrics, EYE - Strabismus
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The aim of this study was to report the incidence, risk factors, treatment and outcomes of scleral perforation as a vision-threatening complication of strabismus surgery. The review included 12 papers: four prospective, two retrospective, two surveys, one review, two animal studies and one case series. Incidence was reported as 3/1000 (retrospective studies of 4886 patients) to 7.8% (surgery by fellows / residents). Overall, it was at 1.5-2%. Risk factors included muscle recession procedure, myopic eyes, previously operated eyes, surgeon experience, and use of S-24 needles. Treatment comprised cryopexy, retinal laser, cautery, antibiotics or observation only. The outcomes were similar across the various treatment groups.

Scleral perforation as a complication of strabismus surgery: a literature review.
Hashim I, Al-Haddad C.
JOURNAL OF PEDIATRIC OPHTHALMOLOGY AND STRABISMUS
2022;59(4):214-23.
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Fiona Rowe (Prof)
CONTRIBUTOR
Fiona Rowe (Prof)

Institute of Population Health, University of Liverpool, UK.

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