Strabismus surgery

A 0.1% ophthalmic preparation is recommended for prevention of postoperative ophthalmic inflammation and can be used after intraocular lens implantation and strabismus surgery. A topical gel containing 3% diclofenac is effective for solar keratoses. Diclofenac in rectal suppository form can be considered for preemptive analgesia and postoperative nausea. In Europe, diclofenac is also available as an oral mouthwash and for intramuscular administration. 

Ozcan AA, Gunes Y, Haciyakupoglu G. Using diazepam and atropine before strabismus surgery to prevent postoperative nausea and vomiting a randomized, controlled study. J AAPOS. 2003 7 210-212. 

Prophylactic intravenous droperidol (10, 20, 40, or 80 micrograms/kg) dose-dependently reduced postoperative nausea and vomiting without increasing the time to discharge in 82 children who underwent strabismus surgery (5). There were no particular adverse effects, but sedation scores were higher in those who received the higher doses. 

Stead SW, Beatie CD, Keyes MA, Isenberg SJ. Effects of droperidol dosage on postoperative emetic symptoms following pediatric strabismus surgery. J Clin Anesth 2004 16 34-9. 

Davis PJ, Lerman J, Suresh S, McGowan EX, Cote CJ, Landsman I, Henson LG. A randomized multicenter study of remifentanil compared with alfentanil, isoflurane, or propofol in anesthetized pediatric patients undergoing elective strabismus surgery. Anesth Analg 1997 84(5) 982-9. 

Hoick DE, Klintworth GK, Dutton JJ, Foulks GN, Manning FJ. Localized conjunctival argyrosis a late sequela of strabismus surgery. Ophthalmic Surg Lasers 2000 31(6) 495-8. 

Schwartz N, Eisenkraft JB, Raab EL. Masseter muscle spasm, succinylchohne, and strabismus surgery. Anesthesiology 1988 69(4) 635-6. 

Nine patients (age 7-12 years) were anaesthetised for strabismus surgery with 3 mg kg propofol and 0.3 pg kg min remifentanil for induction phase and 100-200 pg kg min propofol and 0.3-0.5 pg kg min remifentanil for maintenance phase. Peripheral blood was drawn before, at the end of anaesthesia, 3 and 24 h after surgery. 

Strabismus Surgery (to Prevent Adhesion Between Rectus Muscle and Sclera of the Eye)... 

In the strabismus surgery model in the rabbit eye, demonstrated in Figure 9.27, for the control, the superior rectus muscle is detached from its point of insertion a section of muscle... 

In this animal model for strabismus surgery, 20 Mr ad y-irradiation cross-linked poly (GVGVP), X -poly(GVGVP), presented a biocompatible barrier to the formation of adhesions, caused neither an inflammatory response nor the usual foreign body response of fibrous capsule formation, and appeared to be innocuous, its presence being ignored by the host. 

Figure 9.27. Strabismus surgery model of F. Elsas in the rabbit eye for the prevention of postsurgical adhesions due to positioning a bioelastic sleeve of elastic protein-based material between rectus muscle capsule and scleral defects. (Reproduced with permission from Urry et al. )...

Figure 9.28. Control site for the prevention of adhesions in a strabismus surgery model in the rabbit eye showing, in the absence of a bioelastic sleeve, exten-...

FJ. Elsas, D.C. Gowda, and D.W. Urry, Synthetic Polypeptide Sleeve for Strabismus Surgery. J. Pediatr. Ophthalmol. Strabismus, 29, 284-286,1992. 

Oh AY, Kim JH, Hwang JW, Do SH, Jeon YT. Incidence of postoperative nausea and vomiting after paediatric strabismus surgery with sevoflurane or remifentanil-sevoflurane. Br J Anaesth 2010 104(6) 756-60. 

P. Moyano, M. Ribas, M. Ricos, P. Giralt and V. A. Gancedo, Anesthesia in 2 cases of allergy to atropine in strabismus surgery. Rev. Esp. Aneste-siol. Reanim., 1997, 44, 290-291. 

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