Abstract
Aim: To discuss the pharmacological management of a patient following strabismus surgery. Method: The case of an 18-year-old woman who underwent strabismus surgery is described from the perspective of her post-operative pharmacological management. Results: The patient underwent successful and uncomplicated strabismus surgery. The pharmacological treatment is explained from the perspective of controlling the possible post-operative complications. Conclusion: The Royal College of Ophthalmologists does not have a specific guideline on the pharmacological post-operative care of patients following strabismus surgery. Given the lack of significant randomised controlled studies addressing pharmacological care after strabismus surgery, the management in this case was not evidence-based but based on the experience of a senior consultant ophthalmic surgeon.
Highlights
Strabismus surgery is a common extraocular procedure with a low incidence of significant complications
Post-operative management can include the use of antibiotic drops, steroid eye drops, or no pharmaceuticals
Chloramphenicol 0.5% eye drops are prescribed by the ophthalmology department at University Hospital Galway (UHG) as part of patient care following strabismus surgery
Summary
Strabismus surgery is a common extraocular procedure with a low incidence of significant complications. The complications include pseudoptosis, corneal dellen, conjunctival folds, and punctate epithelial keratopathy.[1] Despite the low risk of infection there have been published case reports of orbital cellulitis after strabismus surgery.[1,2,3,4]. Pharmacological care following strabismus surgery is based not on current Royal College of Ophthalmologists or international guidelines but on the personal experience of the ophthalmic surgeon, and varies between surgical units. Post-operative management can include the use of antibiotic drops, steroid eye drops, or no pharmaceuticals.
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