April 2014
Volume 55, Issue 13
ARVO Annual Meeting Abstract  |   April 2014
Successfully Managed Endophthalmitis following Strabismus Surgery in Three Patients
Author Affiliations & Notes
  • Saba Alniemi
    Ophthalmology, Mayo Clinic, Rochester, MN
  • Sophie Bakri
    Ophthalmology, Mayo Clinic, Rochester, MN
  • Jose S Pulido
    Ophthalmology, Mayo Clinic, Rochester, MN
  • Brian Mohney
    Ophthalmology, Mayo Clinic, Rochester, MN
  • Footnotes
    Commercial Relationships Saba Alniemi, None; Sophie Bakri, Allergan (C), Genentech (C), Regeneron (C), Valeant (C); Jose Pulido, None; Brian Mohney, None
  • Footnotes
    Support None
Investigative Ophthalmology & Visual Science April 2014, Vol.55, 2586. doi:
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    • Get Citation

      Saba Alniemi, Sophie Bakri, Jose S Pulido, Brian Mohney; Successfully Managed Endophthalmitis following Strabismus Surgery in Three Patients. Invest. Ophthalmol. Vis. Sci. 2014;55(13):2586.

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      © ARVO (1962-2015); The Authors (2016-present)

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Purpose: Endophthalmitis generally results in very poor outcomes. The purpose of this study was to report a series of 3 consecutive patients with severe endophthalmitis following apparently uneventful strabismus surgery in which all 3 returned to their preoperative vision.

Methods: The medical records of 3 consecutive cases of post-operative endophthalmitis following strabismus surgery at a single institution were retrospectively reviewed.

Results: Three male patients (age 20 months, 6 years, and 57 years) each underwent uneventful bilateral strabismus surgery. Unilateral endophthalmitis with an associated scleral or choroidal abscess adjacent to a recessed muscle was diagnosed a mean of 11 days (range, 3-18 days) following surgery. All 3 were treated with ≥ 1 dose of intravitreal antibiotics as well as intravitreal dexamethasone in 2, while one patient required cataract surgery. The vision returned to the preoperative level by 11 weeks in the adult and to normal vision after 18 months of follow-up in the 2 children.

Conclusions: Endophthalmitis following strabismus surgery generally results in very poor visual outcomes, however all 3 patients in this series had a return to baseline visual acuity. The use of intravitreal dexamethasone in 2 of the study patients, although controversial, may have played an advantageous role in the outcome of these patients.

Keywords: 513 endophthalmitis • 722 strabismus  

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