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Fundus changes following faden operation.

J L Alio, A Faci

    Archives of Ophthalmology (Chicago, Ill. : 1960)
    |February 1, 1984
    PubMed
    Summary
    This summary is machine-generated.

    The faden operation can cause fundus abnormalities, including chorioretinal scars, in 15.5% of cases. Routine ophthalmoscopic controls are recommended post-surgery, especially for lateral rectus muscle procedures due to risks of macular damage.

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    Area of Science:

    • Ophthalmology
    • Surgical Complications
    • Retinal Imaging

    Background:

    • The faden operation is a surgical technique used in ophthalmology.
    • Ocular fundus abnormalities following surgical procedures require thorough investigation.
    • Previous literature has not extensively detailed fundus changes post-faden operation.

    Purpose of the Study:

    • To investigate the incidence and nature of ocular fundus abnormalities after faden operations.
    • To assess the frequency of complications associated with the faden procedure.
    • To provide recommendations for postoperative care and surgical contraindications.

    Main Methods:

    • Indirect binocular ophthalmoscopy was used for regular postoperative examinations.
    • A study cohort of 187 eyes undergoing faden operations was analyzed.

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  • Ocular fundus findings were systematically documented and categorized.
  • Main Results:

    • 29 out of 187 eyes (15.5%) exhibited fundus abnormalities post-faden operation.
    • Chorioretinal scars at the muscle scleral anchorage were the most common finding (28 cases).
    • One case of Hepburn-Amalric triangular syndrome of choroidal ischemia was observed; no retinal tears were reported.

    Conclusions:

    • Fundus changes represent the most frequent complication of the faden operation, a finding not previously described.
    • Routine ophthalmoscopic controls are essential in the postoperative management of patients who have undergone a faden operation.
    • Faden operations on the lateral rectus muscle are strongly contraindicated due to the significant risk of irreversible macular damage from associated chorioretinal lesions.