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Persistent strabismus after cataract extraction.

Mirjana P Dujić·Katarina R Misailović·Milena M Kovacević
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Abstract

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.

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AgedCataract ExtractionDiplopiaFemaleHumansStrabismusCase ReportsJournal Article

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Mirjana P Dujić, Katarina R Misailović, Milena M Kovacević. 2005. Persistent strabismus after cataract extraction.. https://doi.org/10.2298/vsp0509689d

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