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Complications of strabismus surgery: incidence and risk factors
Michael J Wan1, David G Hunter
1Department of Ophthalmology, Boston Children's Hospital and Harvard Medical School , Boston, Massachusetts , USA.
Purpose:
To perform a systematic review of the complications of strabismus surgery, focusing on incidence and risk factors.
Material And Methods:
A systematic literature search was performed using the Medline and Cochrane databases.
Results:
Local complications, such as conjunctival injection and mild scarring, are almost universal but only rarely have long-term clinical significance. There are several important complications that are uncommon but associated with significant long-term sequelae, including slipped muscles, lost muscles, stretched scars, incarcerated muscles, pulled-in-two syndrome, periocular infections, orbital cellulitis, scleral perforations, retinal detachments, endophthalmitis, anterior segment ischemia, and surgical errors.
Discussion:
Strabismus surgery is associated with a number of common and serious complications, and it is important for both surgeons and patients to be aware of the risks.
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