Document Detail

Rectus muscle trauma complicating sub-Tenon's local anaesthesia.
MedLine Citation:
PMID:  11702966     Owner:  NLM     Status:  MEDLINE    
PURPOSE: To describe three cases of rectus muscle trauma in patients undergoing phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia via the inferonasal quadrant. METHODS: Retrospective review was carried out of 3 cases from 1080 patients who underwent phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia in our unit over a 3 year period up to April 2000. RESULTS: Two patients complained postoperatively of vertical diplopia and were shown to have restriction of elevation of the eye, which was found at surgical exploration to be due to inferior rectus muscle restriction. One patient had post-operative horizontal diplopia due restriction of abduction and exploration of the medial rectus muscle was planned. CONCLUSION: Rectus muscle trauma is proposed as a complication of sub-Tenon's local anaesthesia and caution is advised to operators to clearly identify the sub-Tenon's space for injection of local anaesthetic.
P D Jaycock; C M Mather; J D Ferris; J N Kirkpatrick
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Eye (London, England)     Volume:  15     ISSN:  0950-222X     ISO Abbreviation:  Eye (Lond)     Publication Date:  2001 Oct 
Date Detail:
Created Date:  2001-11-12     Completed Date:  2001-12-11     Revised Date:  2009-11-03    
Medline Journal Info:
Nlm Unique ID:  8703986     Medline TA:  Eye (Lond)     Country:  England    
Other Details:
Languages:  eng     Pagination:  583-6     Citation Subset:  IM    
Department of Ophthalmology, Cheltenham General Hospital, UK.
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MeSH Terms
Aged, 80 and over
Anesthesia, Local / adverse effects*,  methods
Diplopia / etiology
Lens Implantation, Intraocular / adverse effects
Oculomotor Muscles / injuries*
Phacoemulsification / methods*
Retrospective Studies
Strabismus / etiology*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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