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Incidence of infectious complications following strabismus surgery

Hwan Heo1, Won Yeol Ryu2, Arthika Chandramohan3

  • 1Department of Ophthalmology, Stanford University School of Medicine, Palo Alto, California; Department of Ophthalmology, Chonnam National University Medical School and Hospital, Gwangju, Republic of Korea.

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|April 18, 2022
PubMed

Insights

Infectious complications after strabismus surgery are rare, affecting 0.111% of patients. Postoperative endophthalmitis is exceptionally uncommon, occurring in about 1 in 13,700 cases.

Area of Science:

  • Ophthalmology
  • Surgical Outcomes
  • Infectious Disease

Background:

  • Strabismus surgery is a common procedure.
  • Infectious complications can arise postoperatively.
  • Understanding the incidence of these complications is crucial for patient safety.

Purpose of the Study:

  • To determine the incidence of infectious complications following strabismus surgery.
  • To specifically quantify the rate of postoperative endophthalmitis.

Main Methods:

  • Analysis of large-scale US claims databases.
  • Identification of patients who underwent strabismus surgery.
  • Retrospective review of diagnosed infectious complications.

Main Results:

  • A total of 167 infectious complications were identified (0.111%).
  • Complications included endophthalmitis, orbital cellulitis, preseptal cellulitis, and general postoperative infection.
  • The incidence of postoperative endophthalmitis was approximately 0.007% (1 in 13,700 surgeries).

Conclusions:

  • Infectious complications after strabismus surgery are infrequent.
  • Postoperative endophthalmitis is a very rare complication.
  • These findings support the safety profile of strabismus surgery regarding infection risk.

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