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Related Experiment Videos

Diplopia from peribulbar ropivicaine.

A P Wells1, K Maslin

  • 1Wellington Hospital, New Zealand. tony.wells@mailcity.com.uk

Clinical & Experimental Ophthalmology
|May 10, 2001
PubMed
Summary
This summary is machine-generated.

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Ropivicaine, used for peribulbar anesthesia, may cause temporary double vision (diplopia). This previously undescribed side effect resolved within 30 hours in nine patients undergoing cataract surgery.

Area of Science:

  • Ophthalmology
  • Anesthesiology
  • Clinical Neurology

Background:

  • Peribulbar anesthesia is commonly used for cataract surgery.
  • Ropivicaine is a local anesthetic agent.
  • Potential side effects of local anesthetics require ongoing investigation.

Purpose of the Study:

  • To describe a novel side effect associated with ropivicaine use.
  • To document symptomatic diplopia following peribulbar anesthesia with ropivicaine.
  • To investigate the incidence and characteristics of this adverse event.

Main Methods:

  • Prospective identification of nine patients experiencing diplopia after peribulbar ropivicaine administration.
  • Administration of 7 mL ropivicaine (10 mg/mL) with hyalase for cataract surgery.

Related Experiment Videos

  • Exclusion of patients with preoperative ocular motility issues or superior rectus sutures.
  • Main Results:

    • Nine cases of symptomatic, predominantly vertical diplopia were observed.
    • The diplopia occurred within a 10-week period among 77 patients.
    • All reported cases of diplopia resolved spontaneously within 30 hours.

    Conclusions:

    • Ropivicaine may induce a transient, prolonged motor block.
    • This motor block can manifest as temporary diplopia after peribulbar anesthesia.
    • The duration of diplopia can extend up to 30 hours.