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May 2001

Does Endophthalmitis Following Strabismus Surgery Require Scleral Perforation?

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Copyright 2001 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.2001

Arch Ophthalmol. 2001;119(5):783-784. doi:

The article by Recchia et al1 provided an interesting description of 6 cases of endophthalmitis following strabismus surgery and a review of the literature. The authors state that in none of their cases were scleral perforations reported. In their discussion of possible etiologies for postoperative endophthalmitis, they contend that "the development of endophthalmitis neither requires nor implies that perforation of the globe has occurred." In support of this conclusion, they write, "Previous authors have also specifically stated that perforation did not occur during strabismus procedures after which endophthalmitis developed."2,3 These remarks are somewhat misleading.

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