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Inadvertent scleral perforation after strabismus surgery: incidence and association with refractive error.

Authors
 Kyoungsoo Park  ;  Samin Hong  ;  Woosuk Chung  ;  Sung Soo Kim  ;  Suk Ho Byeon  ;  Gong Je Seong  ;  Jong Bok Lee  ;  Sueng-Han Han 
Citation
 CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE, Vol.43(6) : 669-672, 2008 
Journal Title
 CANADIAN JOURNAL OF OPHTHALMOLOGY-JOURNAL CANADIEN D OPHTALMOLOGIE 
ISSN
 0008-4182 
Issue Date
2008
MeSH
Adolescent ; Child ; Cross-Sectional Studies ; Eye Injuries, Penetrating/etiology* ; Eye Injuries, Penetrating/surgery ; Female ; Follow-Up Studies ; Humans ; Incidence ; Male ; Myopia/etiology* ; Oculomotor Muscles/surgery* ; Postoperative Complications* ; Risk Factors ; Sclera/injuries* ; Strabismus/surgery*
Keywords
refractive error ; retinal scar ; scleral penetration ; scleral perforation
Abstract
BACKGROUND: Inadvertent scleral perforation is a rare but serious complication of extraocular muscle surgery for strabismus. We evaluated the incidence of unwanted scleral penetration after strabismus surgery and its association with refractive error. METHODS: This cross-sectional noncomparative case series comprised 453 eyes from 236 patients who underwent strabismus surgery. After dilation, each patient had fundus examination using indirect binocular ophthalmoscope. Chorioretinal scars around the suture area, which presumed the previous scleral perforation, were detected. We assessed whether the presence of these scars was related to the degree of preoperative refractive error. RESULTS: Mean postoperative follow-up was 52.44 (SD 30.07) months. Overall incidence of inadvertent penetration of the sclera was 1.77%. A total of 8 eyes (6 patients) showed chorioretinal scars, and all were myopic. Of these, 3 eyes were classified as mild myopia, 3 as moderate myopia, and the other 2 as severe myopia. The relationship between inadvertent scleral penetration and degrees of refractive error was weak but statistically significant (p = 0.001). INTERPRETATION: Inadvertent scleral perforation after strabismus surgery seems to be associated with myopic refractive error
Full Text
http://www.sciencedirect.com/science/article/pii/S0008418208801767
DOI
10.3129/i08-151
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Sung Soo(김성수) ORCID logo https://orcid.org/0000-0002-0574-7993
Byeon, Suk Ho(변석호) ORCID logo https://orcid.org/0000-0001-8101-0830
Seong, Gong Je(성공제) ORCID logo https://orcid.org/0000-0002-5456-4296
Lee, Jong Bok(이종복)
Han, Seung Han(한승한) ORCID logo https://orcid.org/0000-0001-8972-4790
Hong, Sa Min(홍사민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/107889
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