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.
Bloom JN. Does Endophthalmitis Following Strabismus Surgery Require Scleral Perforation? Arch Ophthalmol. 2001;119(5):783–784. doi:
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