Document Detail

Change in ocular alignment after topical anesthetic cataract surgery.
MedLine Citation:
PMID:  19404663     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: To report the incidence of, and change in ocular misalignment following topical anesthetic cataract surgery. METHODS: Prospectively, 160 consecutive patients who were scheduled for cataract surgery under topical anesthesia were evaluated. All patients had a complete ophthalmic examination, including ocular alignment evaluation, just before and 1 day, 1 week, 3 weeks, and 2 months after cataract surgery. RESULTS: Preoperatively, 26 patients had ocular misalignment. Mean deviation in these preexisting misalignment was 7.2 +/- 6.8 prism diopters (PD). Postoperatively, the angle of deviation improved to 5.4 +/- 7.4 PD. Acquired ocular misalignment after cataract surgery occurred in 12 of 160 patients (8%) at 1 day, and seven of 131 (5%) at 2 months. None of these seven patients sought medical attention for the diplopia. CONCLUSIONS: The overall incidence of topical anesthesia-related change in ocular alignment after uneventful cataract surgery was 5%. However, no patients had symptomatic diplopia. Topical anesthetic cataract surgery could abolish the risk of postoperative diplopia and improve the heterophoric status of preexisting misalignment.
Seung Ah Chung; Chan Yoon Kim; Jee Ho Chang; Samin Hong; Sung Yong Kang; Gong Je Seong; Jong Bok Lee
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Publication Detail:
Type:  Journal Article     Date:  2009-04-30
Journal Detail:
Title:  Graefe's archive for clinical and experimental ophthalmology = Albrecht von Graefes Archiv für klinische und experimentelle Ophthalmologie     Volume:  247     ISSN:  1435-702X     ISO Abbreviation:  Graefes Arch. Clin. Exp. Ophthalmol.     Publication Date:  2009 Sep 
Date Detail:
Created Date:  2009-08-04     Completed Date:  2009-10-07     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8205248     Medline TA:  Graefes Arch Clin Exp Ophthalmol     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  1269-72     Citation Subset:  IM    
Department of Ophthalmology, The Institute of Vision Research, Severance Hospital, Yonsei University College of Medicine, Seoul, Korea.
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MeSH Terms
Aged, 80 and over
Anesthesia, Local
Anesthetics, Local / administration & dosage*
Diplopia / epidemiology,  etiology,  physiopathology
Lens Implantation, Intraocular*
Middle Aged
Postoperative Complications*
Prospective Studies
Strabismus / epidemiology,  etiology*,  physiopathology
Visual Acuity / physiology
Young Adult
Reg. No./Substance:
0/Anesthetics, Local

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