Squint Surgery

Squint
Surgery

   

• SE
  Olitsky, M Vilardo, S Awner, et al (State Univ of
  New York, Buffalo)
  
  Needle Sterility During
  Strabismus Surgery.
  
  J
  AAPOS 2:151-152, 1998
  
     
  
  Postoperative
  endophthalmitis rarely occurs following strabismus
  surgery. The
  host conjunctiva may be a major source of infection. Though direct instillation of 5% povidone-iodine just prior to
  surgery is often practised, there is no method which
  completely sterilizes the conjunctiva in all
  patients. Needle
  sterility becomes a key issue, if scleral
  perforation is involved in the mechanism of
  infection. Sterility of needles used during
  strabismus surgery was assessed.
  
      
  
  61
  patients underwent strabismus surgery.
  106 out of the 110 needles used in surgery
  were recovered and recultured.
  Cultures were found positive in 16 out of 106
  eyes (15.1%) and in 15 of 61 patients (24.6%).
  There were no postoperative infections. 
  Organisms cultured resembled the indigenous
  bacterial flora.