The occurrence of marginal keratitis and corneal ulceration adjacent to the site of muscle surgery is not as uncommon as the dearth of reports in the recent literature and lack of descriptions in many standard reference books would lead one to believe. An initial experience with this complication can be somewhat disturbing if one does not appreciate its benign nature. Since becoming aware of its existence, I have been able to observe 9 cases personally and have discovered a tenth while reviewing a record for other reasons. The evaluation of this small series along with those cases recently reported in the literature1,2 permits a number of clinically significant conclusions.
The first case will be reported in detail, since it demonstrates the pitfalls in diagnosis and therapy that the uninitiated may fall into. This will be followed by a presentation in tabular form of the salient features of the remainder
NAUHEIM JS. Marginal Keratitis and Corneal Ulceration After Surgery on the Extraocular Muscles. Arch Ophthalmol. 1962;67(6):708-711. doi:10.1001/archopht.1962.00960020708003