Postoperative myositis in reoperated extraocular muscles
Presented at the 32nd Annual Meeting of the American Association for Pediatric Ophthalmology and Strabismus, Keystone, Colorado, March 15-19, 2006.
Received 14 June 2006; accepted 16 December 2006. published online 20 March 2007.
Purpose
To report on a series of patients who developed orbital myositis following routine strabismus surgery.
Methods
A retrospective medical record review of patients who developed myositis following routine strabismus surgery. Surgery was performed on all patients between 1998 and 2003 by a single pediatric ophthalmologist (SMA).
Results
Four patients developed orbital myositis following routine strabismus surgery. All four cases were reoperations. Symptoms of myositis developed at a mean of 21 days after surgery (range, 4-34). In the initial patient, the diagnosis of myositis was based on clinical and computed tomography findings. The clinical course of the three subsequent patients was similar to that of the radiologically confirmed case. In all cases, the diagnosis was supported by rapid resolution after treatment with systemic corticosteroids.
Conclusions
Orbital myositis is a previously unreported complication of strabismus surgery. Reoperation appears to be a predisposing factor.
aKellogg Eye Center, University of Michigan, Ann Arbor, Michigan
bAbrahamson Pediatric Eye Institute, Cincinnati Children’s Hospital Medical Center, University of Cincinnati, Cincinnati, Ohio
Reprint requests: Andrew B. Wolf, MD, 1351 Washington Boulevard, Suite 101, Stamford, CT 06902.
ABSTRACT