title: Anterior segment angiography in strabismus surgery.
abstract: BACKGROUND
  Anterior ciliary arteries travelling along recti muscles provide anterior segment vascularization, which can be compromised by surgery involving more than 2 muscles.
  
  
  METHODS
  We studied retrospectively the files of 10 patients in whom a fluorescein angiography of the iris had been performed as a pre-operative assessment prior to a second or third oculomotor surgery.
  
  
  RESULTS
  The median age of the patients was 47.5 years (range 15 to 73 years). Relative iris ischemia was present in 4 patients following multiple surgeries, none of them presenting any general cardiovascular risk. The initial surgical protocol was modified according to angiographic results in these 4 patients.
  
  
  CONCLUSIONS
  When further surgery has to be performed on previously multi-operated patients, anterior segment angiography can be useful in the planning of surgery in order to minimize the risks of anterior segment ischemia.
authors.affiliation: Hôpital Ophtalmique Jules Gonin, Lausanne, Switzerland. georges.klainguti@fa2.ch
authors.forename: P-F
authors.initials: PF
authors.lastname: Kaeser
authors.forename: G
authors.initials: G
authors.lastname: Klainguti
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000869:Anterior Eye Segment / Q000098:blood supply* / Q000473:pathology*; D019842:Ciliary Arteries / Q000473:pathology; D005260:Female; D005451:Fluorescein Angiography / Q000379:methods; D006801:Humans; D007511:Ischemia / Q000209:etiology* / Q000473:pathology* / Q000517:prevention & control; D008297:Male; D008875:Middle Aged; D013508:Ophthalmologic Surgical Procedures / Q000009:adverse effects*; D013285:Strabismus / Q000150:complications / Q000473:pathology* / Q000601:surgery*; D025321:Surgery, Computer-Assisted / Q000379:methods; D016896:Treatment Outcome; D055815:Young Adult