Complications of the Transconjunctival Approach

Abstract

Objective To review the intraoperative and postoperative complications of the transconjunctival approach, as well as their prevention, management, and outcomes. Design A retrospective study of the complications in 400 patients who underwent the transconjunctival approach to the lower eyelid or orbit for treatment of orbital trauma or the aging face. Setting Academic tertiary referral medical center. Results There were 8 cases of conjunctival granuloma, 2 cases of entropion, and 1 case each of hematoma, ectropion, prolonged chemosis, conjunctival inclusion 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 successful outcome.