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Complications of Strabismus Surgery.

Olitsky SE, Coats DK - Middle East Afr J Ophthalmol (2015 Jul-Sep)

Bottom Line: Strabismus surgery is no different in this regard.When a complication occurs, it is important to first recognize it and then manage it appropriately to allow for the best outcome possible.This article will discuss some of the more common and/or most devastating complications that can occur during or after strabismus surgery as well as thoughts on how to avoid them and manage them should they happen.

View Article: PubMed Central - PubMed

Affiliation: Children's Mercy Hospital, Kansas City, USA ; Department of Ophthalmology, University of Missouri, Kansas City School of Medicine, USA ; Department of Ophthalmology, University of Kansas School of Medicine, Kansas City, USA.

ABSTRACT
All surgeries carry risks of complications, and there is no way to avoid ever having a complication. Strabismus surgery is no different in this regard. There are methods to reduce the risk of a complication during or after surgery, and these steps should always be taken. When a complication occurs, it is important to first recognize it and then manage it appropriately to allow for the best outcome possible. This article will discuss some of the more common and/or most devastating complications that can occur during or after strabismus surgery as well as thoughts on how to avoid them and manage them should they happen.

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Related in: MedlinePlus

Dragging of the conjunctiva into the scleral suture tunnels which could implant epithelial cells into the scleral tracts and lead to epithelial cyst development (with permission from Coats DK, Olitsky SE, Strabismus surgery and its complications, Springer 2007)
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Figure 2: Dragging of the conjunctiva into the scleral suture tunnels which could implant epithelial cells into the scleral tracts and lead to epithelial cyst development (with permission from Coats DK, Olitsky SE, Strabismus surgery and its complications, Springer 2007)

Mentions: Subconjunctival epithelial inclusion cysts occur infrequently as a complication of strabismus surgery. They can occur anywhere in the operative field, but most commonly occur adjacent to conjunctival incisions or near the new muscle insertion into the sclera. These cysts are thought to arise from inclusion of conjunctival epithelial cells into the substantia propria or the sclera. Nests of conjunctival epithelial cells that have become deposited during strabismus surgery later proliferate, forming a central cavity and ultimately forming a visible cyst. If the conjunctiva becomes adherent to the suture and is pulled into the scleral tunnels, conjunctiva epithelial cells may become deposited in the scleral tunnels and allow a cyst to form [Figure 2].


Complications of Strabismus Surgery.

Olitsky SE, Coats DK - Middle East Afr J Ophthalmol (2015 Jul-Sep)

Dragging of the conjunctiva into the scleral suture tunnels which could implant epithelial cells into the scleral tracts and lead to epithelial cyst development (with permission from Coats DK, Olitsky SE, Strabismus surgery and its complications, Springer 2007)
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4502168&req=5

Figure 2: Dragging of the conjunctiva into the scleral suture tunnels which could implant epithelial cells into the scleral tracts and lead to epithelial cyst development (with permission from Coats DK, Olitsky SE, Strabismus surgery and its complications, Springer 2007)
Mentions: Subconjunctival epithelial inclusion cysts occur infrequently as a complication of strabismus surgery. They can occur anywhere in the operative field, but most commonly occur adjacent to conjunctival incisions or near the new muscle insertion into the sclera. These cysts are thought to arise from inclusion of conjunctival epithelial cells into the substantia propria or the sclera. Nests of conjunctival epithelial cells that have become deposited during strabismus surgery later proliferate, forming a central cavity and ultimately forming a visible cyst. If the conjunctiva becomes adherent to the suture and is pulled into the scleral tunnels, conjunctiva epithelial cells may become deposited in the scleral tunnels and allow a cyst to form [Figure 2].

Bottom Line: Strabismus surgery is no different in this regard.When a complication occurs, it is important to first recognize it and then manage it appropriately to allow for the best outcome possible.This article will discuss some of the more common and/or most devastating complications that can occur during or after strabismus surgery as well as thoughts on how to avoid them and manage them should they happen.

View Article: PubMed Central - PubMed

Affiliation: Children's Mercy Hospital, Kansas City, USA ; Department of Ophthalmology, University of Missouri, Kansas City School of Medicine, USA ; Department of Ophthalmology, University of Kansas School of Medicine, Kansas City, USA.

ABSTRACT
All surgeries carry risks of complications, and there is no way to avoid ever having a complication. Strabismus surgery is no different in this regard. There are methods to reduce the risk of a complication during or after surgery, and these steps should always be taken. When a complication occurs, it is important to first recognize it and then manage it appropriately to allow for the best outcome possible. This article will discuss some of the more common and/or most devastating complications that can occur during or after strabismus surgery as well as thoughts on how to avoid them and manage them should they happen.

Show MeSH
Related in: MedlinePlus