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Extraocular and Intraocular Infections Following Strabismus Surgery: A Review.

Malcolm R Ing, Justin Shortell, Jamie Golez

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    Infections after strabismus surgery can range from superficial to severe endophthalmitis. While rare, endophthalmitis significantly impacts vision, necessitating prompt treatment and preventative measures like povidone-iodine use.

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    Area of Science:

    • Ophthalmology
    • Surgical Infections

    Background:

    • Strabismus surgery, while common, carries a risk of postoperative infections.
    • Infections can manifest in various forms, from superficial to deep intraocular involvements.

    Purpose of the Study:

    • To review the literature on infections following strabismus surgery.
    • To analyze the types, treatments, and outcomes of these infections, particularly endophthalmitis.

    Main Methods:

    • Extensive literature review using PubMed and Google Scholar.
    • Searched using terms like "infection following strabismus surgery" and "endophthalmitis strabismus surgery".

    Main Results:

    • Periocular and orbital infections required systemic therapy; sub-Tenon's abscesses needed drainage and antibiotics.
    • Endophthalmitis was rare but devastating, with poor visual outcomes in over two-thirds of cases despite early intervention.

    Conclusions:

    • No method can entirely prevent infections, but reducing bacterial load is key.
    • Preoperative povidone-iodine application and avoiding scleral perforation are recommended preventative strategies.