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Marginal Keratitis and Corneal Ulceration After Surgery on the Extraocular Muscles

Marginal Keratitis and Corneal Ulceration After Surgery on the Extraocular Muscles Abstract The occurrence of marginal keratitis and corneal ulceration adjacent to the site of muscle surgery is not as uncommon as the dearth of reports in the recent literature and lack of descriptions in many standard reference books would lead one to believe. An initial experience with this complication can be somewhat disturbing if one does not appreciate its benign nature. Since becoming aware of its existence, I have been able to observe 9 cases personally and have discovered a tenth while reviewing a record for other reasons. The evaluation of this small series along with those cases recently reported in the literature1,2 permits a number of clinically significant conclusions. The first case will be reported in detail, since it demonstrates the pitfalls in diagnosis and therapy that the uninitiated may fall into. This will be followed by a presentation in tabular form of the salient features of the remainder References 1. Active ingredients: prednisolone 21-phosphate and neomycin sulfate. 2. Contains trypsin 68%, chymotrypsin 30%, and ribonuclease 2%. 3. Contains polymixin B sulfate, neomycin sulfate, and bacitracin. 4. Hartmann, E.: Incidents au niveau du segment antérieur au cours des opérations sur les muscles oculaires , Bull. Soc. Ophthal. Franc. 6:314, 1957. 5. Vancea, P.; Vaighel, V., and Vancea, P. P.: L,ulcère trophique de la cornée consécutif aux opérations sur les muscles oculaires , Ann. Oculist. (Par.) 193:28, 1960. 6. Samuels, B., and Fuchs, A.: Clinical Pathology of the Eye , New York, Paul V. Hoeber, Medical Book Department of Harper & Brothers, 1952, pp. 33-37. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

Marginal Keratitis and Corneal Ulceration After Surgery on the Extraocular Muscles

Archives of Ophthalmology , Volume 67 (6) – Jun 1, 1962

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Publisher
American Medical Association
Copyright
Copyright © 1962 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1962.00960020708003
Publisher site
See Article on Publisher Site

Abstract

Abstract The occurrence of marginal keratitis and corneal ulceration adjacent to the site of muscle surgery is not as uncommon as the dearth of reports in the recent literature and lack of descriptions in many standard reference books would lead one to believe. An initial experience with this complication can be somewhat disturbing if one does not appreciate its benign nature. Since becoming aware of its existence, I have been able to observe 9 cases personally and have discovered a tenth while reviewing a record for other reasons. The evaluation of this small series along with those cases recently reported in the literature1,2 permits a number of clinically significant conclusions. The first case will be reported in detail, since it demonstrates the pitfalls in diagnosis and therapy that the uninitiated may fall into. This will be followed by a presentation in tabular form of the salient features of the remainder References 1. Active ingredients: prednisolone 21-phosphate and neomycin sulfate. 2. Contains trypsin 68%, chymotrypsin 30%, and ribonuclease 2%. 3. Contains polymixin B sulfate, neomycin sulfate, and bacitracin. 4. Hartmann, E.: Incidents au niveau du segment antérieur au cours des opérations sur les muscles oculaires , Bull. Soc. Ophthal. Franc. 6:314, 1957. 5. Vancea, P.; Vaighel, V., and Vancea, P. P.: L,ulcère trophique de la cornée consécutif aux opérations sur les muscles oculaires , Ann. Oculist. (Par.) 193:28, 1960. 6. Samuels, B., and Fuchs, A.: Clinical Pathology of the Eye , New York, Paul V. Hoeber, Medical Book Department of Harper & Brothers, 1952, pp. 33-37.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Jun 1, 1962

References