Recognized globe perforation during strabismus surgery: Incidence, risk factors, and sequelae
| Autor: | Paul B Mullaney, Ali M. Al-Hazmi, Abdulaziz H. Awad, Muneera Al-Assaf, Shahira Al-Turkmani, Musarat Awan, Saleh Al-Mesfer, David T. Wheeler, Johan Zwaan |
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| Rok vydání: | 2000 |
| Předmět: |
Adult
Male medicine.medical_specialty Visual acuity Adolescent genetic structures Saudi Arabia Visual Acuity Ophthalmologic Surgical Procedures Eye injuries Endophthalmitis Risk Factors medicine Humans Child Intraoperative Complications Strabismus Hyphema Retrospective Studies business.industry Incidence Infant medicine.disease Eye Injuries Penetrating eye diseases Surgery Ophthalmology Oculomotor Muscles Child Preschool Pediatrics Perinatology and Child Health Female sense organs Phthisis bulbi medicine.symptom business Orbit Ophthalmologic Surgical Procedure Strabismus surgery |
| Zdroj: | Journal of American Association for Pediatric Ophthalmology and Strabismus. 4:150-153 |
| ISSN: | 1091-8531 |
| Popis: | Background: Inadvertent perforation of the globe is a well-recognized complication of extraocular muscle surgery. We evaluated the incidence, risk factors, and sequelae of this complication at our institution. Methods: Medical records of patients who underwent extraocular muscle surgery at King Khaled Eye Specialist Hospital, Saudi Arabia, between September 1983 and April 1997, were reviewed for the occurrence of globe perforation. We documented preoperative visual acuity and refraction, surgical procedure, how the perforation occurred, and immediate management, as well as the sequelae of the perforation, its management, and final outcome. Results: Recognized perforations occurred in 15 of 4886 procedures, for an overall incidence rate of 3/1000. Perforations were 3 times more common in myopic eyes (>−6.00 D, P = .05) and 2 times more common in eyes with previous extraocular muscle surgery. Perforations occurred during muscle reattachment (5 cases), placement of traction sutures at the limbus (4 cases with transient hyphema), muscle disinsertion (3 cases), and placement of sutures at the muscle insertion before disinsertion (3 cases). One patient had a large scleral laceration with uveal prolapse, necessitating scleral patch graft at the time of surgery, and later had retinal detachment surgery with loss of 2 lines of visual acuity. Endophthalmitis, cataract, glaucoma, and phthisis bulbi were not encountered in our review. Conclusion: The current incidence of globe perforation is low and only rarely associated with serious sequelae. (J AAPOS 2000;4:150–3) J AAPOS 2000;4:150–3 |
| Databáze: | OpenAIRE |
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