Superior oblique damage from the traction suture at cataract surgery.
A 41-year-old woman underwent uneventful phacoemulsification and posterior chamber lens implantation in the right eye. Approximately a month later similar surgery was performed in the left eye. The surgery was performed with the patient under retro-bulbar anesthesia with a combination of bupivacaine (Marcaine) 0.75% and lidocaine (Xylocaine) 4% administered through a lower lid injection. Immediately after the patch was removed, the patient was aware of constant vertical diplopia. Over the ensuing 6 months the symptom worsened. Orbital computed tomography showed no abnormalities.
Simon
J W
JW
Department of Ophthalmology, Albany Medical College, Lions Eye Institute, New York 12208, USA.
Goyal
D K
DK
D000328:Adult; D004172:Diplopia / Q000209:etiology* / Q000534:rehabilitation / Q000601:surgery; D005139:Eyeglasses; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D019654:Lens Implantation, Intraocular; D009801:Oculomotor Muscles / Q000293:injuries* / Q000601:surgery; D018918:Phacoemulsification / Q000379:methods*; D012086:Reoperation; D013536:Suture Techniques / Q000009:adverse effects*; D015348:Vision, Binocular; D014792:Visual Acuity