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Diplopia following sub-tenon's anaesthesia: an unusual complication
Robert A Blum1, Lik Thai Lim, Clifford R Weir
1Department of Ophthalmology, Medical University of Vienna, Waehringer Gürtel 18-20, 1090, Vienna, Austria. robert.blum@meduniwien.ac.at
International Ophthalmology
|February 22, 2012
Summary
Sub-Tenon
Area of Science:
- Ophthalmology
- Anesthesia
Background:
- Diplopia is a rare complication of retrobulbar and peribulbar anesthesia.
- Sub-Tenon's local anesthesia (STLA) is less commonly associated with diplopia.
Observation:
- A 76-year-old woman developed vertical diplopia after phacoemulsification with STLA.
- She presented with significant left hypotropia, unresponsive to occlusion therapy.
Findings:
- A presumptive diagnosis of inferior rectus fibrosis was made.
- Surgical intervention (inferior rectus recession) resulted in partial recovery of ocular alignment.
Implications:
- This case suggests STLA can cause inferior rectus fibrosis, potentially due to muscle trauma or anesthetic myotoxicity.
- Highlights the need for careful technique and supervision during STLA administration.
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