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[Healing process and complications after eye muscle surgery]
1Universitäts-Augenklinik Giessen.
Summary
Eye muscle surgery is generally safe, with few serious complications. Minor issues like conjunctival folds and scars are common, but significant problems are rare, necessitating follow-up for potential dellen.
Area of Science:
- Ophthalmology
- Surgical Complications
- Strabismus Surgery
Background:
- Reports on eye muscle surgery complications vary.
- This study aimed to quantify complications and minor pathological changes.
Purpose of the Study:
- To quantify operative and postoperative complications.
- To assess minor pathological changes in eye muscle surgery patients.
Main Methods:
- Prospective study of 377 patients (500 eyes) undergoing various eye muscle surgeries.
- Preoperative and 1-day, 1-week, 3-month postoperative examinations.
- Documentation of all complications and minor pathological changes, some scored.
Main Results:
- 30% experienced mild inflammatory pseudoptosis postoperatively.
- Conjunctival irritation varied, with resection causing more than tucking.
- Minor issues like punctate epithelial keratopathy (1.6%) and dellen (4.3%) occurred; no serious complications reported.
Conclusions:
- Eye muscle surgery has a low complication rate.
- Revisions for pathological changes are rare.
- Dellen requires monitoring; tucking is less irritating than resection.