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July 2000

Endophthalmitis After Strabismus Surgery

Arch Ophthalmol. 2000;118(7):982-983. doi:10-1001/pubs.Ophthalmol.-ISSN-0003-9950-118-7-eed00022

RECCHIA ET AL1 report 6 cases of endophthalmitis after strabismus surgery. These cases were seen during a 15-year interval and were treated at 2 tertiary care institutions. Serious complications following strabismus surgery are usually rare, and most can be successfully treated. Scleral perforation can be cared for by either cryotherapy or diode laser application and usually has no consequence on visual acuity. A lost muscle may frequently be recovered, or alternative surgical procedures can be employed to achieve alignment. Even orbital cellulitis, the other serious postoperative infection complication, is almost always successfully treated with intravenous antibiotics.2 Endophthalmitis remains the most dreaded postoperative complication because even the most aggressive antibiotic therapy rarely results in a satisfying visual acuity outcome.