Our Summary

This study reviews various types of infections that might occur after strabismus surgery (a surgery performed to correct misaligned eyes). The researchers used search engines PubMed and Google Scholar to gather information by using phrases related to the subject.

The type of infection and its location determined the kind of treatment required. For example, infections involving deeper tissues, like the area around the eye or the eye socket, needed systemic therapy (treatment involving the whole body, often through the bloodstream). Abscesses (pockets of pus) below a membrane covering the eye required cutting into and draining, along with systemic antibiotics.

The study found that endophthalmitis (a severe eye infection) following strabismus surgery was rare, but when it did occur, it typically had a devastating effect on vision. Symptoms of this condition usually appeared around 3 days after surgery, but a definitive diagnosis and treatment often weren’t made until around 6 days post-surgery. Despite quick detection and surgical intervention, the patient’s vision was severely affected in over two-thirds of reported cases.

The researchers suggest several techniques surgeons can take to reduce the risk of infection, such as using a disinfectant called povidone-iodine before surgery and avoiding accidental piercing of the white part of the eye during surgery. However, they note that it’s impossible to entirely prevent all infections following this type of surgery.

FAQs

  1. What types of infections can occur after strabismus surgery?
  2. How are infections after strabismus surgery treated?
  3. What can be done to reduce the risk of infection following strabismus surgery?

Doctor’s Tip

A doctor might tell a patient about the importance of following post-operative care instructions, including keeping the eye clean and avoiding rubbing or touching the eye. They may also advise the patient to contact their healthcare provider immediately if they experience any signs of infection, such as increased pain, redness, swelling, or discharge from the eye. Additionally, the doctor may recommend scheduling follow-up appointments to monitor healing and ensure the best possible outcome.

Suitable For

Patients who are typically recommended strabismus surgery include those with misaligned eyes that cannot be corrected through non-surgical methods such as glasses or eye exercises. Common conditions that may require strabismus surgery include esotropia (inward turning of the eye), exotropia (outward turning of the eye), hypertropia (upward turning of the eye), and hypotropia (downward turning of the eye). Additionally, patients with amblyopia (lazy eye) or double vision caused by strabismus may also be recommended for surgery. It is important for patients to consult with an ophthalmologist to determine if strabismus surgery is the best treatment option for their specific condition.

Timeline

In summary, before strabismus surgery, a patient will typically undergo a consultation with an ophthalmologist to discuss the procedure and potential risks. The surgery itself may take place in a hospital or outpatient surgery center and usually lasts around 1-2 hours. After the surgery, the patient may experience some discomfort, redness, and swelling in the eye area, which can be managed with pain medication and cold compresses. Follow-up appointments with the surgeon will be scheduled to monitor healing and ensure the eyes are properly aligned.

In the days following surgery, the patient will need to follow specific post-operative instructions, such as avoiding strenuous activities and keeping the eyes clean and free from infection. It is important for the patient to report any unusual symptoms, such as increasing pain, redness, or discharge, to their healthcare provider immediately.

Overall, the timeline for a patient before and after strabismus surgery involves preparation, the surgical procedure itself, and a period of recovery and monitoring for potential complications. With proper care and attention, most patients recover well and achieve improved eye alignment and vision.

What to Ask Your Doctor

  1. What are the potential risks and complications of strabismus surgery, including infections?
  2. How common are infections following strabismus surgery?
  3. What are the symptoms of an infection after strabismus surgery?
  4. How soon after surgery should I contact you if I suspect an infection?
  5. How are infections typically treated after strabismus surgery?
  6. What steps do you take to prevent infections during strabismus surgery?
  7. What can I do to reduce my risk of infection before and after strabismus surgery?
  8. How likely is it that an infection following strabismus surgery will affect my vision?
  9. What should I do if I experience any signs of infection after strabismus surgery?
  10. Are there any specific warning signs I should watch out for in the days following surgery that may indicate an infection?

Reference

Authors: Ing MR, Shortell J, Golez J. Journal: J Pediatr Ophthalmol Strabismus. 2019 Jul 1;56(4):214-221. doi: 10.3928/01913913-20190425-01. PMID: 31322710