Comparative evaluation of effect of postoperative padding versus no padding after strabismus surgery.

INTRODUCTION

Padding of the eye after Strabismus surgery is a routine procedure; however, its role after surgery is not clear.

OBJECTIVE

To compare postoperative pain and other physiological parameters in padded versus nonpadded eyes after strabismus surgery under general anesthesia.

DESIGN

Prospective, randomized, observational study.

PARTICIPANTS

One hundred and twelve patients (224 eyes) in the age group of 5-15 years were enrolled over 18 months. However, 12 patients were lost to follow-up.

METHODS

Eyes were randomly distributed to either the padding group or the nonpadding group. Parameters studied on day 1, at 1 week, and at 4 weeks postoperatively included pain, congestion, conjunctival chemosis, subconjunctival hemorrhage, and lid edema.

RESULTS

In the early postoperative period, pain and conjunctival congestion were significantly higher in the padded eye compared to the nonpadded eye (P = 0.001). There was no significant difference in other parameters. No complications, such as dellen formation, wound gaping, or infection, were noted in any patient. Surgery on the inferior oblique muscle was associated with more pain and congestion compared to other muscles.

CONCLUSION

Postoperative padding of the eye after strabismus surgery results in greater pain and conjunctival congestion.