Ocular Complications of Strabismus Surgery at a Tertiary Eye hospital, Nepal

Aim To find out the complications of first horizontal strabismus surgery at a tertiary eye hospital in Nepal Methods 194 patients with follow-up periods of 6 weeks to 3 months were retrieved from 2017 to 2020 from the electronic medical record. were reviewed retrospectively at Tilganga Institute of Ophthalmology (TIO) Results The majority of the patients were between the ages of 6 and 18 years old (59.6%), followed by those aged 18-53 years (40.4%). There was a female preponderance. Out of 194 patients, 19 (9.8%) persons (eyes: 23, 11.9%) developed complications. Five patients had conjunctival wound dehiscence. Four patients developed conjunctival cysts, raised IOP was seen in four patients. Four patients developed postoperative diplopia. Three had corneal epithelial defects, two had corneal dellen, and a single patient had suture granuloma. Conclusion Common complications, such as conjunctival injection, scarring, dellen, cysts, and pyogenic granulomas, usually resolve with conservative management over time. Vision-threatening complications are rare after strabismus surgery. Damage to ocular structures can be prevented by employing meticulous surgical techniques. Close monitoring and vigilant postoperative care are necessary.