COMPLICATIONS OF THE TRANSCONJUNCTIVAL APPROACH - A REVIEW OF 400 CASES

Objective: To review the intraoperative and postoperative complication s of the transconjunctival approach, as well as their prevention, mana gement, and outcomes. Design: A retrospective study of the complicatio ns in 400 patients who underwent the transconjunctival approach to the lower eyelid or orbit for treatment of orbital trauma or the aging fa ce. Setting: Academic tertiary referral medical center. Results: There were 8 cases of conjunctival granuloma, 2 cases of entropion, and 1 c ase each of hematoma, ectropion, prolonged chemosis, conjunctival incl usion cyst, lower eyelid laceration, and avulsion with lacrimal system injury. Conclusions: Complications of the transconjunctival approach are uncommon. When they do occur, proper management results in a succe ssful outcome.