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Related Experiment Video

Updated: May 15, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Errors in strabismus surgery.

Elizabeth Shen¹, Travis Porco, Tina Rutar

¹University of California, San Francisco, School of Medicine, San Francisco, CA 94143, USA.

JAMA Ophthalmology

|January 12, 2013

Summary

This summary is machine-generated.

Errors in strabismus surgery occur in about one-third of surgeons, with lower procedure volume increasing risk. Key factors include confusion over deviation type and surgical plan, globe torsion, and distraction.

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Last Updated: May 15, 2026

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Surgical Correction for Pediatric Epiblepharon and Trichiasis

Published on: July 8, 2025

Correction of Presbyopia by Monocular Bi-Aspheric Ablation Profile

Published on: September 20, 2024

Area of Science:

Ophthalmology
Surgical Safety
Medical Error Research

Background:

Strabismus surgery aims to correct eye alignment but carries risks of surgical errors.
Understanding the prevalence and causes of these errors is crucial for improving patient safety.

Purpose of the Study:

To determine the frequency of errors in strabismus surgery.
To identify factors contributing to these surgical errors.

Main Methods:

A survey was distributed to 1103 strabismus surgeons during a professional meeting and via email.
46.87% of surgeons (517) completed the survey regarding their experiences with surgical errors.

Main Results:

33.5% of surgeons reported at least one error, such as operating on the wrong eye or muscle.
The mean error rate was 1 in 2506 operations; lower surgical volume (<1500 procedures) significantly increased error rates (5.9 times higher).
Common error causes included confusion in deviation type/procedure (29.8%), globe torsion (17.5%), and inattention/distraction (16.7%). Running multiple ORs and lack of preoperative muscle marking were associated with higher error likelihood.

Conclusions:

Self-reported errors in strabismus surgery are a significant concern, comparable in frequency to periorbital cellulitis.
Strategies to reduce errors include preoperative confirmation of deviation and surgical plan, enhanced site marking, and assistant involvement in verification.