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 after strabismus surgery
Reviewed by Fiona Rowe
Scleral perforation as a complication of strabismus surgery: a literature review.
CONTRIBUTOR
Fiona Rowe (Prof)
Institute of Population Health, University of Liverpool, UK.
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