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Related Experiment Video

Updated: Apr 5, 2026

$Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity$

Author Spotlight: Advancements in Refractive Surgical Correction for Presbyopia and Exploring Postoperative Visual Acuity

Published on: September 20, 2024

Post-strabismus surgery aqueous misdirection syndrome.

Dewang Angmo¹, Bhagabat Nayak¹, Viney Gupta¹

¹Dr RP Centre, All India Institute of Medical Sciences, New Delhi, India.

BMJ Case Reports

|August 6, 2015

Summary

This summary is machine-generated.

A 24-year-old developed severe eye pain and high intraocular pressure (IOP) after squint surgery. Prompt treatment involving vitrectomy and trabeculectomy successfully lowered the IOP.

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Area of Science:

Ophthalmology
Glaucoma Research
Surgical Complications

Background:

Congenital third nerve palsy can necessitate strabismus surgery.
Cosmetic strabismus surgery aims to correct eye alignment.
Uncontrolled intraocular pressure (IOP) is a hallmark of glaucoma.

Observation:

A patient developed severe pain, corneal edema, and extremely high IOP (58 mm Hg) in the left eye one week after squint surgery.
The patient's symptoms began shortly after undergoing medial rectus resection and lateral rectus recession for congenital third nerve palsy.
Initial management with maximal medication failed to control the elevated IOP.

Findings:

The diagnosis was post-strabismus surgery aqueous misdirection syndrome.
Core vitrectomy with 360° goniosynechialysis was performed on the affected eye.
A subsequent trabeculectomy was necessary to achieve IOP reduction.

Implications:

Aqueous misdirection syndrome is a rare but serious complication following strabismus surgery.
Prompt surgical intervention, including vitrectomy and goniosynechialysis, may be required to manage this condition.
Trabeculectomy can be an effective treatment for refractory glaucoma secondary to aqueous misdirection.