Retinal complications of strabismus surgery
1Department of Ophthalmology, SUNY-Health Science Center, Syracuse 13210, USA.
Current Opinion in Ophthalmology
|May 7, 1998
Summary
Inadvertent retinal perforation during strabismus surgery occurs at a rate of 0.4-2.8%. Most cases are asymptomatic and can be managed with observation, according to recent studies.
Area of Science:
- Ophthalmology
- Surgical Innovation
- Retinal Diseases
Background:
- The incidence of retinal perforation during strabismus surgery is not well-established.
- Patients experiencing this complication are often asymptomatic, complicating detection and management.
- Modern surgical techniques and materials are employed in current strabismus procedures.
Purpose of the Study:
- To determine the frequency of inadvertent retinal perforation in strabismus surgery.
- To evaluate the clinical significance and management of iatrogenic retinal perforations.
- To provide evidence-based recommendations for managing retinal perforations post-strabismus surgery.
Main Methods:
- Analysis of recent prospective clinical studies on strabismus surgery outcomes.
- Review of laboratory studies investigating retinal perforation management.
- Assessment of perforation rates using contemporary surgical methods.
Main Results:
- Retinal perforation rates range from 0.4% to 2.8% per 100 cases.
- The majority of iatrogenic retinal perforations are asymptomatic.
- Laboratory findings support conservative management for most cases.
Conclusions:
- Inadvertent retinal perforation is an infrequent complication of strabismus surgery.
- Close follow-up without immediate intervention is a viable management strategy for most perforations.
- Further research may refine management protocols for asymptomatic retinal perforations.
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