Strabismus pp 193-207 | Cite as

Complications of Eye Muscle Surgery

  • Burton J. Kushner
Chapter

Abstract

Although it is normal to have some degree of pain and irritation after strabismus surgery, one must always be attentive to the remote possibility of a cellulitis, which requires systemic antibiotics, or the even more remote possibility of endophthalmitis. Usually, swelling and discomfort are most prominent the morning after surgery and improve as the day progresses. However, if the symptoms are worsening, and particularly if the pain is of a deep nature, as opposed to surface irritation, the patient should be seen to rule out a serious problem. Common causes of surface pain include suture irritation (if conjunctival sutures were used), deleon formation, or filamentary keratitis. For reasons that are not clear, preseptal cellulitis can occur and is more common than orbital cellulitis after strabismus surgery. One also must consider an allergic conjunctivitis to be the cause if postoperative topical antibiotics were used. If bilateral surgery was performed, and the irritation is unilateral, you are not dealing with an allergic problem. Treatment of allergic conjunctivitis includes discontinuing the offending medication, and if severe a short course of mild topical steroids.

Keywords

Anterior segment ischemia (ASI) Capsulopalpebral head Cellulitis Cysts Diplopia Disinserted muscle Dry river bed sign Dynamic imaging Elongated scar Endophthalmitis Imaging Infection Lost muscles Myotomy Pulled-in-two syndrome Scleral perforation Slipped muscle String test Thyroid eye disease (TED) Vessel sparing Z-myotomy 

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Copyright information

© Springer International Publishing AG 2017

Authors and Affiliations

  • Burton J. Kushner
    • 1
  1. 1.Department of Ophthalmology and Visual SciencesUniversity of Wisconsin-MadisonMadisonUSA

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