Fundus changes following faden operation
J. L. Alio and A. Faci
A faden operation was performed in 187 eyes that were studied by indirect
binocular ophthalmoscopy at regular intervals after the surgical procedure.
Of these eyes, 29 (15.5%) showed ocular fundus abnormalities, with 28 cases
of chorioretinal scars at the level of the muscle scleral anchorage and one
case of Herpburn-Amalric triangular syndrome of choroidal ischemia. No case
of retinal tears was found in this series. Fundus changes are by far the
most frequent complication of the faden operation, and to our knowledge,
this has not been previously described. The findings of the present study
suggest (1) the necessity of routine ophthalmoscopic controls in the
postoperative stage regarding those eyes in which the faden operation has
been performed, and (2) that the faden operation on the lateral rectus
muscle is seriously contraindicated because of the high risk of
irreversible macular damage consecutive to these chorioretinal lesions.
