Persistent strabismus after cataract extraction
| Autor: | Mirjana Dujic, Katarina R. Misailović, Milena M. Kovačević |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
medicine.medical_specialty
iatrogenic disease genetic structures medicine.medical_treatment enzymes Cataract Extraction anesthesia Inferior rectus muscle Ophthalmology local Diplopia medicine Humans Pharmacology (medical) Strabismus Aged lcsh:R5-920 business.industry Phacoemulsification Cataract surgery medicine.disease eye diseases Surgery Hypertropia Female sense organs medicine.symptom lcsh:Medicine (General) business Orthoptic Strabismus surgery |
| Zdroj: | Vojnosanitetski Pregled, Vol 62, Iss 9, Pp 689-691 (2005) |
| ISSN: | 2406-0720 0042-8450 |
| DOI: | 10.2298/vsp0509689d |
| Popis: | Background. Transient ocular misalignment as a complication of parabulbar and peribulbar anesthesia has already been reported in the literature. The aim of our study was to present a case of irreversible iatrogenic vertical strabismus after cataract surgery, which had to be operated on. Methods. Clinical and orthoptic evaluation of a female patient with vertical diplopia after phacoemulsification cataract surgery. Results. One week after the uneventful surgery, a 68-year-old patient complained of a sudden vertical deviation in the operated eye. The patient had not had a history of previous motility disorders. On examination, the patient showed hypertropia in the left eye of 15?20 degrees in primary position. Three and 6 months postoperatively, there was no a spontaneous improvement, while the persistent vertical deviation was 40 prism dioptres. Strabismus surgery was required 1 year after the cataract surgery. Conclusion. Diplopia is a complication of peribulbar anesthesia which could be persistent. The superior and inferior rectus muscle are especially vulnerable. Its occurrence may be technique - related and the incidence increases when hyaluronidase is not available. |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|