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Superior oblique overaction from local anesthesia for cataract surgery.

Traumatic superior oblique dysfunction from cataract surgery appears to be rare, with only 3 reported cases of postoperative Brown syndrome and 1 reported case of postoperative superior oblique weakness. We are not aware of any prior reports of superior oblique overaction occurring after cataract surgery. We describe a patient with acquired superior oblique overaction as a cause of vertical strabismus after cataract surgery. Ocular torsion analysis was essential in localizing the malfunction to the superior oblique muscle. The most likely etiology is myotoxicity from inadvertent intramuscular injection of local anesthetic before cataract surgery.

作 者:
Phillips PHGuyton DLHunter DG
刊 名:
Journal of AAPOS 
年,卷(期):
2001vol.5(no.5) 
分类号:
 
关键词:
Anesthesia, Local  Anesthetics, Combined  Anesthetics, Local  Diplopia  Oculomotor Muscles  麻醉, 局部  麻醉药, 联用  麻醉药, 局部  复视  动眼肌  超声乳化白内障吸除术
正文语种:
eng 
基金项目:
 
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