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Endophthalmitis after strabismus surgery

S M Salamon, T R Friberg, M N Luxenberg

    American Journal of Ophthalmology
    |January 1, 1982
    PubMed
    Summary
    This summary is machine-generated.

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    Endophthalmitis following strabismus surgery can lead to severe vision loss, even with prompt treatment. Early recognition and management of scleral perforations are critical for better outcomes in strabismus surgery patients.

    Area of Science:

    • Ophthalmology
    • Surgical Complications
    • Infectious Diseases

    Background:

    • Strabismus surgery, while common, carries risks including intraoperative complications.
    • Endophthalmitis is a severe intraocular infection that can lead to significant vision impairment.

    Observation:

    • Two cases of endophthalmitis post-strabismus surgery were analyzed.
    • One case involved a recognized scleral perforation treated with cryopexy.
    • The second case had a suspected but unconfirmed scleral perforation.

    Findings:

    • Both patients experienced decreased visual acuity despite intensive antibiotic and corticosteroid therapy.
    • Case 1: Visual acuity reduced to light perception.
    • Case 2: Visual acuity reduced to counting fingers; the eye was enucleated eight years later due to blindness and pain.

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    Implications:

    • This highlights the potential for severe visual morbidity from endophthalmitis after strabismus procedures.
    • Aggressive management of scleral perforations during strabismus surgery may be crucial.
    • Further research into preventative strategies and optimal treatment protocols for post-operative endophthalmitis is warranted.