Skip to main content

Complications of Strabismus Surgery

  • Chapter
  • First Online:
Strabismus
  • 874 Accesses

Abstract

Over the years, the strabismus surgery has undergone improvement in terms of both efficacy and safety. Although serious complications are fortunately rare, no surgery is devoid of risk. It is important for surgeons to be aware of the incidence of complications and various factors that may increase the risk. The complications range from preoperative glitches like wrong surgery to postoperative complications like undesired correction and infection.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Hardcover Book
USD 99.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Shen E, Porco T, Rutar T. Errors in strabismus surgery. JAMA Ophthalmol. 2013;131(1):75–9.

    Article  Google Scholar 

  2. MacEwen C, Gregson R. Complications of strabismus surgery – how to avoid and manage them. In: Manual of strabismus surgery. UK: Butterworth-Heinemann; 2003. p. 172–3.

    Google Scholar 

  3. Parks MM. Slipped, disinserted or severed and lost muscles. In: Clinical strabismus management. Philadelphia: W. B. Saunders; 1999. p. 529–38.

    Google Scholar 

  4. Plager DA, Parks MM. Recognition and repair of slipped rectus muscle. J Pediatr Ophthalmol Strabismus. 1988;25:270–4.

    CAS  PubMed  Google Scholar 

  5. Parks MM, Bloom JN. The “slipped” muscle. Ophthalmology. 1979;86:1389–96.

    Article  CAS  Google Scholar 

  6. Wallace DK, Steven RV, Mukherji SK. Strabismus surgery complicated by “pulled-in-two syndrome” in a case of breast carcinoma metastatic to the medial rectus muscle. J AAPOS. 2000;4:117–9.

    Article  CAS  Google Scholar 

  7. Dunbar JA, Lueder GT. Intraoperative dehiscence of a rectus muscle: report of two cases. J AAPOS. 1997;1:175–7.

    Article  CAS  Google Scholar 

  8. Kowal L, Wutthiphan S, McKelvie P. The snapped inferior rectus. Aust N Z Ophthalmol. 1998;26:29–35.

    Article  CAS  Google Scholar 

  9. Chatzistefanou KI, Kushner BJ, Gentry LR. Magnetic resonance imaging of the arc of contact of extraocular muscles: implications regarding the incidence of slipped muscles. J AAPOS. 2000;4(2):84–93.

    Article  CAS  Google Scholar 

  10. Sebastian RT, Marsh IB. Adjustment of the surgical nomogram for surgery on slipped EOMs. J AAPOS. 2006;10:573–6.

    Article  Google Scholar 

  11. Demer JL, Oh SY, Poukens V. Evidence for active control of rectus extraocular muscle pulleys. Invest Ophthalmol Vis Sci. 2000;41(6):1280–90.

    CAS  PubMed  Google Scholar 

  12. Awad AH, Mullaney PB, Al-Hazmi A, et al. Recognized globe perforation during strabismus surgery: incidence, risk factors, and sequelae. J AAPOS. 2000;4(3):150 153.

    Article  Google Scholar 

  13. Fresina M, Campos EC. Corneal “dellen” as a complication of strabismus surgery. Eye (Lond). 2009;23(1):161–3.

    Article  CAS  Google Scholar 

  14. Guadilla AM, de Liaño PG, Merino P, Franco G. Conjunctival cysts as a complication after strabismus surgery. J Pediatr Ophthalmol Strabismus. 2011;48(5):298–300.

    Article  Google Scholar 

  15. Khan AO, Al-Katan H, Al-Baharna I, Al-Wadani F. Infected epithelial inclusion cyst mimicking subconjunctival abscess after strabismus surgery. J AAPOS. 2007;11(3):303–4.

    Article  Google Scholar 

  16. Kushner BJ. Subconjunctival cysts as a complication of strabismus surgery. Arch Ophthalmol. 1992;110(9):1243–5.

    Article  CAS  Google Scholar 

  17. Murray AD. Slipped and lost muscles and other tales of the unexpected: Phillip Knapp Lecture. J AAPOS. 1998;2:133–43.

    Article  CAS  Google Scholar 

  18. Ginat D, Sadiq MA, Dagi LR. Imaging of strabismus and craniofacial malformation surgery. In: Ginat D, Freitag S, editors. Post-treatment imaging of the orbit. NY: Springer; 2014. p. 132–3.

    Google Scholar 

  19. Waite C, Dai S. Orbital imaging to identify a “lost” lateral rectus muscle. J Pediatr Ophthalmol Strabismus. 2016;53:e32–4.

    PubMed  Google Scholar 

  20. von Noorden GK, Campos EC. Chapter 16: Esodeviations. In: Binocular vision and ocular motility. 6th ed. St. Louis: Mosby; 2002. p. 311–49.

    Google Scholar 

  21. von Noorden GK, Campos EC. Chapter 17: Exodeviations. In: Binocular vision and ocular motility. 6th ed. St. Louis: Mosby; 2002. p. 356–76.

    Google Scholar 

  22. Kraft SP. Selected exotropia entities and principles of management. In: Rosenbaum AL, Santiago AP, editors. Clinical strabismus management. Philadelphia: W. B. Saunders; 1999. p. 193–9.

    Google Scholar 

  23. Noh JE, Park KH, Lee J, Jung MS, Kim SY. Changes in refractive error and anterior segment parameters after isolated lateral rectus muscle recession. J AAPOS. 2013;17:291–5.

    Article  Google Scholar 

  24. Al-Tamimi E, Al-Nosair G, Yassin S. Effect of horizontal strabismus surgery on the refractive status. Strabismus. 2015;23(3):111–6.

    Article  Google Scholar 

  25. Dottan SA, Hoffman P, Oliver MD. Astigmatism after strabismus surgery. Ophthalmic Surg Las. 1988;19:128–9.

    CAS  Google Scholar 

  26. von Noorden GK, Campos EC. Principles of surgical treatment. In: Binocular vision and ocular motility: theory and management of strabismus. 6th ed. St. Louis, MO: CV Mosby; 2001. p. 571–3.

    Google Scholar 

  27. Santos de Souza Lima LC, Velarde LG, Vianna RN, Herzog Neto G. The effect of horizontal strabismus surgery on the vertical palpebral fissure width. J AAPOS. 2011;15(5):473–5.

    Article  Google Scholar 

  28. Lagrèze WA, Gerling J, Staubach F. Changes of the lid fissure after surgery on horizontal extraocular muscles. Am J Ophthalmol. 2005;140(6):1145–6.

    Article  Google Scholar 

  29. Akbari MR, Raygan F, Ameri A, Jafari A, Eshraghi B, Fard MA. Lower eyelid retractor lysis versus Lockwood advancement to minimize lower eyelid retraction resulting from inferior rectus muscle recession. J AAPOS. 2013;17(4):445–7.

    Article  Google Scholar 

  30. Simon JW, Lininger LL, Scheraga JL. Recognized sclera perforation during eye muscle surgery: incidence and sequelae. J Pediatr Ophthalmol Strabismus. 1992;29(5):273–5.

    CAS  PubMed  Google Scholar 

  31. Bleik JH, Cherfan GM. Anterior segment ischemia after the Jensen procedure in a 10-year-old patient. Am J Ophthalmol. 1995;119(4):524–5.

    Article  CAS  Google Scholar 

  32. Wolf E, Wagner RS, Zarbin MA. Anterior segment ischemia and retinal detachment after vertical rectus muscle surgery. Eur J Ophthalmol. 2000;10(1):82–7.

    CAS  PubMed  Google Scholar 

  33. Saunders RA, Phillips MS. Anterior segment ischemia after three rectus muscle surgery. Ophthalmology. 1988;95(4):533–7.

    Article  CAS  Google Scholar 

  34. Murdock TJ, Mills MD. Anterior segment ischemia after strabismus surgery with microvascular dissection. J AAPOS. 2000;4(1):56–7.

    Article  CAS  Google Scholar 

  35. von Noorden GK, Campos EC. Principles of surgical treatment. In: von Noorden GK, Campos EC, editors. Binocular vision and ocular motility. 6th ed. St. Louis: Mosby; 2002. p. 620–1.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2019 Springer Nature Singapore Pte Ltd.

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Phuljhele, S., Saxena, R., Sharma, P., Saini, M. (2019). Complications of Strabismus Surgery. In: Agrawal, S. (eds) Strabismus. Springer, Singapore. https://doi.org/10.1007/978-981-13-1126-0_10

Download citation

  • DOI: https://doi.org/10.1007/978-981-13-1126-0_10

  • Published:

  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-1125-3

  • Online ISBN: 978-981-13-1126-0

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics