[Post-cataract surgery diplopia: etiology and treatment].
| Autor: | Domingo Gordo B; Departamento de Oftalmología, Hospital General Universitario Gregorio Marañón, Madrid, España., Merino Sanz P, Arrevola Velasco L, Acero Peña A, Luezas Morcuende JJ, Gómez De Liaño Sánchez P |
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| Jazyk: | Spanish; Castilian |
| Zdroj: | Archivos de la Sociedad Espanola de Oftalmologia [Arch Soc Esp Oftalmol] 2000 Sep; Vol. 75 (9), pp. 581-7. |
| Abstrakt: | Purpose: To know the causes and treatment of diplopia observed after cataract surgery. Methods: We make a descriptive retrospective study on 19 cases with persistent binocular diplopia following cataract surgery. Results: They were classified by aetiology in four groups: myotoxic effects in surgery act (47.4%), alteration in binocular vision (amblyopia, previous strabismus or long sensory deprivation) (47.4%), refractive alterations (5.2%) and previous disease. Initially, treatment with prisms, was tolerated on 47.4%; surgery was required on 36.8%, botulinicum toxin on 5.3% and penalty on 10.5% to avoid diplopia. Eventually, 36.8% of patients went on with diplopia, just only one lay equal, disappearing on 63.2% because binocular vision was recovered or suppressed by themselves or by penalty. Conclusions: Diplopia after cataracts surgery, is a serious complication that surgeons must take into account. In spite of the different treatments used, it is not easy to get its disappearance. |
| Databáze: | MEDLINE |
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