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May 2001

Does Endophthalmitis Following Strabismus Surgery Require Scleral Perforation?

Author Affiliations

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

Arch Ophthalmol. 2001;119(5):784-785. doi:

In reply

Fortunately, endophthalmitis following strabismus surgery is so rare that some of the issues raised in Dr Bloom's letter may never be totally resolved. It is logical to assume that scleral perforation during surgery can lead to endophthalmitis. The more difficult question is whether endogenous endophthalmitis exists. Recchia et al1 presented pathology reports for 2 cases and stated that there was no evidence of scleral perforation. Of course, a scleral perforation may have been missed. I do not know any way to completely resolve Dr Bloom's suspicion concerning that issue.