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Endophthalmitis after pediatric strabismus surgery

F M Recchia1, C R Baumal, A Sivalingam

  • 1Wills Eye Hospital, 900 Walnut St, Philadelphia, PA 19107, USA.

Archives of Ophthalmology (Chicago, Ill. : 1960)
|July 19, 2000
PubMed

Insights

Endophthalmitis following pediatric strabismus surgery is rare but severe, often presenting with lethargy and eye redness. Prompt ocular examination is crucial due to virulent bacteria and poor visual outcomes.

Area of Science:

  • Ophthalmology
  • Pediatric Surgery
  • Infectious Diseases

Background:

  • Pediatric strabismus surgery is common.
  • Endophthalmitis is a rare but serious complication following ocular procedures.

Observation:

  • Six cases of endophthalmitis after pediatric strabismus surgery were reviewed.
  • Patients presented with lethargy and asymmetric eye redness within 4 days of surgery.

Findings:

  • Cultures revealed virulent bacteria including Streptococcus pneumoniae, Haemophilus influenzae, and Staphylococcus aureus.
  • All affected eyes had no light perception within 6 months; three required enucleation.
  • Clinical signs included periorbital swelling, redness, leukocoria, and hypopyon.

Implications:

  • Early recognition of subtle symptoms like lethargy and redness is vital in pediatric patients.
  • Urgent ophthalmological evaluation is necessary for suspected endophthalmitis post-strabismus surgery.
  • Aggressive treatment with vitrectomy and antibiotics is required, though outcomes remain poor.
Abstract

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