Spontaneous recovery from inferior rectus contracture (consecutive hypotropia) following local anesthetic injury.
We present yet another case of apparent inferior rectus paralysis following retrobulbar anesthesia for cataract surgery. He initially had a typical course but, unusually, after developing hypotropia and presumed contracture, went on to spontaneously recover. We are unaware of any other such case described in the literature. Methods to enhance this more desirable course are considered.
Sutherland
Shona
S
Ocular Motility Clinic, Royal Victorian Eye and Ear Hospital and Melbourne University Department of Ophthalmology, Melbourne, Victoria 3002, Australia.
Kowal
Lionel
L
D019162:Anesthetics, Combined / Q000009:adverse effects*; D000779:Anesthetics, Local / Q000009:adverse effects*; D002045:Bupivacaine / Q000009:adverse effects; D002387:Cataract Extraction; D003286:Contracture / Q000139:chemically induced / Q000503:physiopathology*; D004172:Diplopia / Q000139:chemically induced / Q000503:physiopathology*; D006801:Humans; D008012:Lidocaine / Q000009:adverse effects; D008297:Male; D008875:Middle Aged; D009801:Oculomotor Muscles / Q000187:drug effects / Q000503:physiopathology*; D020127:Recovery of Function; D012075:Remission, Spontaneous; D013285:Strabismus / Q000139:chemically induced / Q000503:physiopathology*
D019162:Anesthetics, Combined; D000779:Anesthetics, Local; D008012:Lidocaine; D002045:Bupivacaine