Diplopia following sub-tenon%26apos;s anaesthesia: an unusual complication

作者：Blum Robert A^*; Lim Lik Thai; Weir Clifford R

来源：International Ophthalmology, 2012, 32(2): 191-193.

DOI：10.1007/s10792-012-9535-3

• Cataract extraction
• Diplopia
• Anaesthesia
• Strabismus
• Sub-tenon%26apos
• s

Diplopia is a rare but well recognised complication following retrobulbar and peribulbar local anaesthesia but it has not been widely reported following sub-tenon%26apos;s local anaesthesia (STLA). We report on a 76-year-old woman who developed vertical diplopia after left phacoemulsification. She had received a STLA. She had left hypotropia measuring 30 prism diopters for near and distance. She was managed with occlusion but there was no improvement in her findings over 6 months. Ocular motility opinion was then sought and a presumptive diagnosis of inferior rectus fibrosis was made. She subsequently underwent a left inferior rectus recession using adjustable sutures. Postoperatively she had a residual left hypotropia measuring 8 prism dioptres and single vision. Possible causes of inferior rectus fibrosis include muscle damage during traumatic sub-tenon%26apos;s block or myotoxicity due to local anaesthetic agents. This case highlights the importance of close supervision of inexperienced staff administering regional anaesthetics.

• 出版日期2012-4