Incidence, Risk Factors and Management of Postoperative Complications in Horizontal Strabismus Surgery

• Published in: Seminars in ophthalmology 2024-02, Vol.39 (2), p.143-149
• Main Authors: Huang, Yu-Te, Lin, Sheng-Chun, Huang, Li-Ying, Rujikajorn, Kewalee, Chen, Po-Yu Jay, Chen, Jamie Jiin-Yi, Wu, Ming-Yen, Lin, Hui-Ju, Wan, Lei
• Format: Article
• Language: English
• ISSN: 0882-0538; 1744-5205
• DOI: 10.1080/08820538.2023.2275620

To report the incidence, risk factors and management of postoperative complications after horizontal strabismus surgery. Retrospective Cohort study. The study assessed 1,273 patients with 1,035 cases of exotropia and 238 cases of esotropia, with a minimum 18-month follow-up. Retrospective review of strabismus operation patients' medical records included baseline demographics, age at surgery, pre/postoperative visual acuity, and deviation. Complications were categorized as surgical site (infection, scarring, cyst, granuloma, ischemia) and strabismus-related (recurrence, diplopia), with analysis of incidence, risk factors, and management. Among surgical site complications, the incidence of infection, pyogenic granuloma, and anterior segment ischemia were similar between the exotropia (0.3%, 0.3%, 0.2%) and esotropia (0.8%, 0%, 0.4%) groups (  = .221, 0.406, 0.515). In contrast, the esotropia group presented a higher risk of conjunctival inclusion cyst and conjunctival scar than the exotropia group, with incidences of 5.0% vs 2.2% and 6.3% vs 1.3%, respectively (  = .004,