Superior oblique muscle paresis after sub-Tenon's anesthesia for cataract surgery.
A 68-year-old man developed strabismus after having sub-Tenon's anesthesia for cataract extraction and intraocular lens implantation. An ipsilateral hypertropia with superior oblique muscle paresis developed in the operated eye. The hypertropia appeared 1 day after surgery and resolved 1 month later. Although sub-Tenon's anesthesia is considered safer than other methods of local anesthesia, strabismus may occur.
Spierer
A
A
Goldschleger Eye Institute, Sheba Medical Center, Tel-Hashomer, Israel.
Schwalb
E
E
D000368:Aged; D000772:Anesthesia, Local / Q000009:adverse effects* / Q000379:methods; D002387:Cataract Extraction; D003238:Connective Tissue; D006801:Humans; D019654:Lens Implantation, Intraocular; D008297:Male; D009886:Ophthalmoplegia / Q000209:etiology* / Q000503:physiopathology; D013285:Strabismus / Q000209:etiology / Q000503:physiopathology