Following strabismus surgery, what is an important consideration for patient care?

Monitoring for scleral perforation is an important consideration in patient care following strabismus surgery because this complication, though rare, can occur as a result of surgical manipulation or excessive tension on the eye’s structure. Scleral perforation can lead to significant complications, including intraocular hemorrhage, retinal detachment, or even loss of the eye if not identified and managed quickly. It is critical for healthcare providers to observe for signs that may indicate perforation, such as sudden vision changes, increased pain, or unusual eye appearance, and to ensure prompt intervention if any symptoms arise.

Other considerations for post-operative care are certainly relevant, such as ocular lubrication to protect the cornea and ensuring a proper assessment of vision, but the potential severity of a scleral perforation emphasizes the need for vigilance in monitoring this specific risk, particularly in the immediate post-operative period. Regularly applying pressure bandages also has its roles but is typically more related to other types of ocular surgeries rather than strabismus correction specifically. Therefore, focused monitoring for scleral perforation is paramount in post-operative management.