Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
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Comparative Study
Postoperative povidone-iodine prophylaxis in strabismus surgery.
While antibiotic/steroid combinations are routinely administered during the first week after strabismus surgery, they can be costly and inconvenient and may be unnecessary. This study compares the use of single-dose 5% povidone-iodine drops versus a week-long course of antibiotic/steroid as a prophylaxis against postoperative infection in extraocular muscle surgery. ⋯ Single-dose povidone-iodine is an inexpensive alternative to postoperative antibiotic/steroid prophylaxis following routine strabismus surgery performed through a fornix incision. Patients who had reoperations and limbal incisions were more likely to have complicated postoperative courses: antibiotic/steroid use in these groups may be beneficial.
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Creating a secure postoperative eye dressing after pediatric surgery can be challenging. Children frequently attempt to remove dressings, especially those covering their face and eyes. Any dressing or tape with loose ends may be pulled and dislodged. We report a fast and simple method to create a secure postoperative eye dressing using transparent Tegaderm dressing.