Anterior segment ischemia after strabismus surgery with microvascular dissection

Anterior segment ischemia is a rare but well-known complication of extraocu lar muscle surgery.(1) Several surgical techniques have been used to preven t this complication in high-risk patients. A number of studies have suggest ed that microvascular dissection and preservation of the anterior ciliary v essels during strabismus surgery may reduce the risk of ischemic complicati ons.(2-4) We present a case in which anterior segment ischemia occurred des pite the use of this vessel-sparing technique.