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Ophthalmology
Complications of Strabismus Surgery
Built from Strabismus Simplified, Second Edition
What’s inside
4 sections · 52 slides
Overview
- Scope of complications in strabismus surgery
- Classification of strabismus surgery complications
Intraoperative surgical complications
- Operation on the wrong eye
- Operation on the wrong muscle
- Wrong operation performed
- Sequence of recession and resection in combined surgery
- Vertical transposition of horizontal recti in the wrong direction
- Extraocular muscle relationships in the orbit
- Expected bleeding points during strabismus surgery
- Persistent ooze from positive venous pressure
- Haemorrhage during posterior orbital surgery
- Situations causing scleral perforation
- Scleral thickness at the muscle insertion
- Prevention of scleral perforation
- Management of recognised scleral perforation
- Prophylactic cryopexy after perforation
- Splitting of muscle fibres during hooking
- Loose and partial thickness sutures in the muscle
- Central sag of the recessed muscle
- Lost and slipped muscle: circumstances
- Locating a lost muscle
- Stay suture technique when the muscle cannot be found
- Muscle sheath rupture, Tenon's rupture and fat prolapse
Anaesthesia related complications
- Cardiac arrest during strabismus surgery
- Oculocardiac reflex and intraoperative bradycardia
- Prophylaxis and treatment of the oculocardiac reflex
- Malignant hyperthermia
- Allergy to anaesthetic agents
Postoperative complications
- Postoperative vomiting
- Postoperative infection
- Fungal infection after strabismus surgery
- Suture granuloma and suture reactions
- Tenon's prolapse and conjunctival inclusion cysts
- Corneal and scleral dellen
- Anterior segment ischaemia: clinical presentation
- Blood supply of the anterior segment and the muscle insertions
- Risk factors and prevention of anterior segment ischaemia
- Treatment and prognosis of anterior segment ischaemia
- Incidence of over and under correction
- Timing of over and under correction
- Management of small residual and consecutive deviations
- Management of marked overcorrection
- Assessment before reoperation
- Residual squint before and after corrective surgery
- Neurological evaluation after unexpected overcorrection
- Key points on complications of strabismus surgery
- Suggested reading
- Suggested reading (continued)
- Strabismus Simplified