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Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Original papers: Complications in strabismus surgery.

R W Berger¹, W Haase

¹University of Hamburg, Eye Hospital, Orthoptic Department, Hamburg, Germany.

|February 15, 2011

Summary

Globe perforation is a rare risk in strabismus surgery. Improved surgical techniques have significantly reduced perforation rates from 10% in the 1960s-70s to 1.5% currently.

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Area of Science:

Ophthalmology
Surgical Safety

Background:

Globe perforation is a known, albeit rare, complication of strabismus surgery.
Historical data indicates a high perforation rate in the mid-20th century.

Purpose of the Study:

To analyze the trend of globe perforation rates in strabismus surgery over time.
To assess current perforation rates and compare them with historical data.

Main Methods:

Literature review and statistical analysis of strabismus surgery data from different periods.
Analysis of perforation rates from 1966-1970 and 1989-1993 across multiple clinics.
Review of case reports detailing inadvertent globe perforations.

Main Results:

Globe perforation rates decreased significantly from 3.6% (1966-1970) to 1.5% (1989-1993).
The authors' personal perforation rate was 1.2%, aligning with contemporary specialized centers.
One case report highlighted visual loss from central retinal artery occlusion following intrabulbar steroid injection.

Conclusions:

Modern surgical techniques and materials have substantially reduced the risk of globe perforation during strabismus surgery.
Postoperative ophthalmoscopy with dilated pupils is recommended to detect potential complications.

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Last Updated: Jun 4, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025