title: Scleral perforations during routine traction test in a patient with osteogenesis imperfecta.
abstract: Osteogenesis imperfecta comprises a rare group of genetic disorders caused by abnormal collagen that results in increased bone fragility and other sequelae. We describe a 37-year-old woman with osteogenesis imperfecta in whom two full-thickness scleral perforations were created by adjacent teeth of 0.5 mm forceps during traction testing while undergoing routine strabismus surgery. This case reviews the ocular findings of osteogenesis imperfecta and highlights the potential risk of ocular surgical complications in these patients.
authors.affiliation: Department of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; Section of Ophthalmology, Dartmouth-Hitchcock Medical Center, Lebanon, New Hampshire.
authors.forename: Erin M
authors.initials: EM
authors.lastname: Salcone
authors.affiliation: Department of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; Research Institute of Ophthalmology, Cairo, Egypt.
authors.forename: Shaden
authors.initials: S
authors.lastname: Hamdy
authors.affiliation: Cornea and Refractive Surgery Service, Massachusetts Eye and Ear Infirmary, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts.
authors.forename: Samir
authors.initials: S
authors.lastname: Melki
authors.affiliation: Department of Ophthalmology, Boston Children's Hospital, Boston, Massachusetts; Department of Ophthalmology, Harvard Medical School, Boston, Massachusetts. Electronic address: David.Hunter@childrens.harvard.edu.
authors.forename: David G
authors.initials: DG
authors.lastname: Hunter
mesh_terms: D000328:Adult; D005131:Eye Injuries / Q000209:etiology* / Q000601:surgery; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D009801:Oculomotor Muscles / Q000601:surgery; D013508:Ophthalmologic Surgical Procedures; D010013:Osteogenesis Imperfecta / Q000150:complications*; D012590:Sclera / Q000293:injuries*; D013285:Strabismus / Q000601:surgery*; D014792:Visual Acuity