title: Inferior rectus paresis and medial rectus overaction following retrobulbar anesthesia for cataract surgery.
abstract: Strabismus is a well recognized complication of retrobulbar anesthesia for cataract surgery. This may manifest as either paresis or sometimes contracture (overaction) in the late stage. Management of the patient is tailored to the individual case. Herein, we report a patient with inferior rectus paresis and medial rectus overaction after retrobulbar anesthesia. The presenting symptom was diplopia increasing on downgaze, which improved with medial rectus recession and plication of the inferior rectus.
authors.affiliation: Aravind Eye Hospital, Madurai, India. murali_oph79@yahoo.co.in
authors.forename: R
authors.initials: R
authors.lastname: Muralidhar
authors.forename: P
authors.initials: P
authors.lastname: Vijayalakshmi
authors.forename: Anil K
authors.initials: AK
authors.lastname: Gunda
mesh_terms: D000368:Aged; D000772:Anesthesia, Local / Q000009:adverse effects*; D002387:Cataract Extraction; D004172:Diplopia / Q000209:etiology / Q000601:surgery; D005133:Eye Movements; D005403:Fixation, Ocular; D006801:Humans; D008297:Male; D009801:Oculomotor Muscles / Q000503:physiopathology* / Q000601:surgery; D009886:Ophthalmoplegia / Q000209:etiology*; D013285:Strabismus / Q000209:etiology / Q000503:physiopathology; D016896:Treatment Outcome