Strabismus surgery has been associated with multiple nonmuscular complications, including vitreous and retrobulbar hemorrhage, retinal detachment, endophthalmitis, orbital cellulitis, and combined anterior/posterior chamber hemorrhage.1,2 We believe that this is the first report of an isolated anterior-segment hemorrhage (hyphema) as a complication of adjustable suture strabismus surgery.
Report of a Case.
—A 12-year-old boy presented to our institution for evaluation of esotropia present since infancy. His medical history was noncontributory. The patient freely alternated, with an ocular preference for his right eye. His visual acuity was 6/6 OD, 6/7.5 OS at distance, and 6/6 OU at near without correction. The patient demonstrated alternating suppression on the Worth Four-Dot Test. His motility examination revealed a concomitant 40 prismdiopter (PD) esotropia. The remainder of the ocular examination results were normal. The patient allowed cotton-tip manipulation of his eyes, and the decision was made to perform adjustable suture surgery.The surgery was performed
Granet DB, Hertle RW. Hyphema as a Complication of Adjustable Suture Surgery. Arch Ophthalmol. 1993;111(6):733. doi:10.1001/archopht.1993.01090060019008