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Infection following strabismus surgery

M R Ing1

  • 1Department of Surgery, University of Hawaii, John A. Burns School of Medicine, Honolulu.

Ophthalmic Surgery
|January 1, 1991
PubMed

Insights

Strabismus surgery infection rates are low, with cellulitis and endophthalmitis being rare. Antibiotics, both before and after surgery, did not fully prevent infections, and some surgeons used none without increased risk.

Area of Science:

  • Ophthalmology
  • Surgical Infections

Background:

  • Strabismus surgery is common, and infection is a potential complication.
  • The role of prophylactic antibiotics in preventing post-strabismus surgery infection is not fully established.

Purpose of the Study:

  • To survey strabismus surgeons on infection incidence.
  • To assess the use and effectiveness of preoperative and postoperative antibiotics in preventing infection.

Main Methods:

  • A survey was distributed to 63 strabismus surgeons.
  • Data collected included observed infection rates and antibiotic prophylaxis practices.

Main Results:

  • Cellulitis occurred rarely (1 in 1900 cases); endophthalmitis was even rarer (1 in 30,000 cases).
  • Neither preoperative nor postoperative topical antibiotics completely prevented infection.
  • Twelve surgeons reported using no antibiotics and did not observe higher infection rates.

Conclusions:

  • Infection rates following strabismus surgery are generally low.
  • Current antibiotic prophylaxis regimens may not be fully effective in preventing all infections.
  • Further investigation into antibiotic necessity and optimal protocols is warranted.

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