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Endophthalmitis after strabismus surgery with a good visual result
L M Uniat1, R J Olk, C Z Kenneally
1Department of Ophthalmology, Washington University School of Medicine, St. Louis, Missouri 63110.
Ophthalmic Surgery
|January 1, 1988
Summary
A patient experienced vision loss after eye surgery complications but regained 20/20 vision after prompt treatment and cataract surgery.
Area of Science:
- Ophthalmology
- Surgical Complications
- Retinal Surgery
Background:
- Recession-resection surgery is a standard procedure for exotropia.
- Scleral perforation is a rare but serious complication during ocular surgery.
Observation:
- A 78-year-old woman developed vision loss, pain, and hypopyon three days post-surgery following a scleral perforation.
- The patient's visual acuity dropped to light perception.
Findings:
- Prompt treatment with trans pars plana vitrectomy and antibiotics successfully managed the endophthalmitis.
- Visual acuity was restored to the preoperative level of 20/50 within three months.
- Subsequent uneventful cataract extraction further improved vision to 20/20.
Implications:
- This case highlights the importance of timely intervention for post-operative endophthalmitis.
- Successful visual recovery is possible even after significant surgical complications.
- Management strategies for scleral perforation and subsequent endophthalmitis can lead to favorable outcomes.