• Users Online: 55939
  • Home
  • Print this page
  • Email this page
BRIEF COMMUNICATIONS
Year : 2016  |  Volume : 64  |  Issue : 1  |  Page : 91-92

Large exotropia after retrobulbar anesthesia


1 Department of Ophthalmology, Konyang University College of Medicine, Daejeon, Korea
2 Department of Ophthalmology, Konyang University College of Medicine, Daejeon; Department of Ophthalmology, Kim's Eye Hospital, Seoul, Korea, KOrea

Correspondence Address:
Ungsoo Samuel Kim
Department of Ophthalmology, Kim's Eye Hospital, Konyang University College of Medicine, Youngdeungpo 4th 156, Youngdeungpo-gu, Seoul 150-034
KOrea
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0301-4738.178148

Rights and Permissions

A 67-year-old woman complained of horizontal diplopia shortly following bilateral cataract surgery with intraocular lens implantation performed under retrobulbar anesthesia. Retrobulbar anesthesia was administered at an inferotemporal injection site using 1 cc lidocaine hydrochloride 2% mixed with bupivacaine hydrochloride 0.5%. The initial ophthalmologic evaluation showed a 12-prism diopter (PD) exotropia, and ocular motility evaluation revealed marked limitation of adduction without vertical limitation. One year after cataract surgery, the exodeviation increased up to 60 PD. The patient underwent an 8.0-mm recession of the right lateral rectus and a 6.0-mm recession of the left lateral rectus. Both lateral rectus muscles were biopsied, and biopsy revealed dense fibrous connective tissue without viable muscular cells. The lateral rectus muscle might be injured by retrobulbar anesthesia, and it could induce large exotropia.


[FULL TEXT] [PDF]*
Print this article     Email this article
 Next article
 Previous article
 Table of Contents

 Similar in PUBMED
   Search Pubmed for
   Search in Google Scholar for
 Related articles
 Citation Manager
 Access Statistics
 Reader Comments
 Email Alert *
 Add to My List *
 * Requires registration (Free)
 

 Article Access Statistics
    Viewed2015    
    Printed41    
    Emailed0    
    PDF Downloaded259    
    Comments [Add]    
    Cited by others 4    

Recommend this journal