Bupivacaine injection for comitant horizontal strabismus: clinical and radiological results.

Abstract:

PURPOSE:To report the outcomes of bupivacaine injection for the treatment of comitant horizontal strabismus and evaluate clinical effectiveness and associated radiological changes. METHODS:This prospective observational clinical study was conducted on 10 patients with comitant horizontal strabismus of up to 40 prism diopters. Ophthalmologic examinations and three-dimensional orbital magnetic resonance imaging were performed pre and post-injection (at first, third, and 12th months). A 4.5 ml of 0.5% bupivacaine was injected into the extraocular muscle under topical anesthesia using an electromyography in all patients. RESULTS:The mean follow-up time at post bupivacaine injection and mean deviation at primary position were was 17 ± 2 months and 21.3 prism diopters, respectively. The mean changes in ocular alignment, enlargement of the cross-sectional area in the injected muscle, and volumetric enlargement were 7.7 PD, 12%, and 17% at the first year post-injection, respectively. No severe or persistent complication was observed. Ptosis and mydriasis were noted post-injection due to the anesthetic effects of bupivacaine but disappeared within 2 h post-injection. CONCLUSIONS:Bupivacaine injection improved eye alignment in small-angle horizontal comitant strabismus, effectively diagnosed with orbital magnetic resonance imaging to evaluate volumetric changes of the extraocular muscles. Further clinical studies with larger numbers of patients should be performed to define optimal dosages, concentration, and application method and dose-response relationship.

journal_name

Arq Bras Oftalmol

authors

Karaca U,Altinsoy Hİ,Mutlu FM,Ceylan OM

doi

10.5935/0004-2749.20200032

subject

Has Abstract

pub_date

2020-06-01 00:00:00

pages

180-184

issue

3

eissn

0004-2749

issn

1678-2925

pii

S0004-27492020005001202

journal_volume

83

pub_type

杂志文章
  • Clinical outcomes of ocular surface in patients treated with vitamin D oral replacement.

    abstract:PURPOSE:To analyze the clinical outcomes of the ocular surface in patients with vitamin D deficiency after oral replacement. METHODS:A total of 40 patients with vitamin D deficiency were enrolled in the study. The patients received 50,000 units of oral vitamin D weekly over a period of 8 weeks. After 8 weeks, 1,500-2,...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20200043

    authors: Karaca EE,Kemer ÖE,Özek D,Berker D,Imga NN

    更新日期:2020-08-01 00:00:00

  • Intravitreal bevacizumab combined with infliximab in the treatment of choroidal neovascularization secondary to age-related macular degeneration: case report series.

    abstract:PURPOSE:To evaluate the feasibility of the combined use of bevacizumab (Avastin®) and combined with infliximab (Remicade®) in the treatment of naive choroidal neovascularization due to age-related macular degeneration eyes. METHODS:Intravitreal injections of bevacizumab combined with infliximab in 6 neovascular age-re...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492013000300010

    authors: Freitas LG,Isaac DL,Tannure WT,Gabriel LA,Reis RG,Rassi AR,Freitas CA,Ávila MP

    更新日期:2013-05-01 00:00:00

  • [Dacryocystography in adult lacrimal system evaluation].

    abstract:PURPOSE:To evaluate dacrycystographic examination in patients with suspicion of lacrimal apparatus obstruction. METHODS:A retrospective study was performed to evaluate dacryocystographies of 100 adults suspected of nasolacrimal duct obstruction at the "Faculdade de Medicina de Botucatu-UNESP". The data were submitted ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492005000100016

    authors: Schellini SA,Hercules LA,Padovani CR,Nascimento SM,Lopes PS,Schellini Rde C

    更新日期:2005-01-01 00:00:00

  • [Waardenburg syndrome type I: case report].

    abstract::Waardenburg syndrome (WS) type I is a non-progressive auditory-pigmentary disorder comprising congenital sensorineural hearing loss and pigmentary disturbances of the iris, hair, and skin, along with dystopia canthorum (lateral displacement of the inner canthi). Affected individuals may have higher risk of: neural tub...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492011000300013

    authors: Silva PC,Rangel P,Couto A Jr

    更新日期:2011-05-01 00:00:00

  • [Penetrating keratoplasty indications in "Hospital das Clínicas-UNICAMP"].

    abstract:PURPOSE:To determine the main causes of penetrating keratoplasty indications at "Hospital das Clínicas-UNICAMP" (January, 1999 to December, 2003). METHODS:A non-comparative, retrospective series of case studies. The authors reviewed the files of 857 patients who underwent penetrating keratoplasty at "Hospital das Clín...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492007000300020

    authors: Flores VG,Dias HL,de Castro RS

    更新日期:2007-05-01 00:00:00

  • Visual loss resulting from immunosuppressive therapy in patients with syphilitic uveitis.

    abstract::Permanent visual loss can be caused by improper use of immunosuppressive therapy in cases of uveitis without differential diagnosis of syphilitic uveitis. We present four cases of syphilitic uveitis that were incorrectly diagnosed as being secondary to rheumatic diseases and were subsequently treated with immunosuppre...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20150047

    authors: Afonso VC,Nascimento H,Belfort RM,Sato EI,Muccioli C,Belfort R Jr

    更新日期:2015-05-01 00:00:00

  • [Keratoconus special soft contact lens fitting].

    abstract:PURPOSE:To evaluate the fitting and use of a soft contact lens in keratoconic patients. METHODS:Retrospective study on 80 eyes of 66 patients, fitted with a special soft contact lens for keratoconus, at the Contact Lens Section of UNIFESP and private clinics. Keratoconus was classified according to degrees of disease ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000400018

    authors: Yamazaki ES,da Silva VC,Morimitsu V,Sobrinho M,Fukushima N,Lipener C

    更新日期:2006-07-01 00:00:00

  • Metastatic choroidal melanoma to the contralateral eye: a rare case.

    abstract::Uveal melanoma is the most common adult primary intraocular cancer. Although liver metastasis is common to the natural history of the disease, metastasis to the fellow eye is extremely rare. Here we report the case of a 59-year-old man with choroidal melanoma in his right eye who underwent enucleation at a different c...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 信件

    doi:10.5935/0004-2749.20180099

    authors: Belfort RN,Müller MS,Isenberg J,Ferraz P,Szejnfeld D

    更新日期:2018-11-01 00:00:00

  • A teleophthalmology system for the diagnosis of ocular urgency in remote areas of Brazil.

    abstract:PURPOSES:To validate a teleophthalmology mobile system aimed at improving and providing eye urgency screenings in remote and poor area settings in Brazil. The system enables one or more ophthalmologists to remotely examine a patient's condition and submit a decision describing the gravity of the case. If necessary, the...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20140055

    authors: Ribeiro AG,Rodrigues RA,Guerreiro AM,Regatieri CV

    更新日期:2014-08-01 00:00:00

  • Bilateral retinal vasculitis in a patient with lichen planus.

    abstract::Lichen planus (LP) is an autoimmune, inflammatory disease of unknown etiology that commonly affects the skin and mucous membranes. Retinal vasculitis is a group of vision-threatening disorders, in which autoimmunity is thought to play a role in pathogenesis. We present the case of a patient who was diagnosed with reti...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type:

    doi:10.5935/0004-2749.20160113

    authors: Dikci S,Genç O,Yılmaz T,Fırat PG

    更新日期:2016-11-01 00:00:00

  • [In vitro antimicrobial susceptibility of coagulase negative staphylococcal ocular isolates].

    abstract:PURPOSE:To assess the in vitro susceptibility of conjunctival and corneal coagulase negative Staphylococcus (CoNS) to methicillin, fluoroquinolones and aminoglycosides. METHODS:A total of 707 conjunctival and corneal CoNS disk diffusion test results were retrospectively analyzed, from January 2000 through December 200...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492007000600007

    authors: Azevedo Gayoso Mde F,Oliveira AD,d'Azevedo PA,Yu MC,Höfling-Lima AL,Francisco W

    更新日期:2007-11-01 00:00:00

  • [Treatment of neovascular age-related macular degeneration with antiangiogenic drugs].

    abstract::Age-related macular degeneration (ARMD) remains a leading cause of blindness in the western world. Several clinical forms of the disease are recognized, whereas choroidal neovascularization (CNV) represents an important manifestation suitable for treatment. The treatment of CNV has been a major focus of research in th...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0004-27492006000500027

    authors: Rodrigues EB,Rossi EE,Grumann Junior A,Meyer CH,Ho AC

    更新日期:2006-09-01 00:00:00

  • Detection of diabetic foveal edema with biomicroscopy, fluorescein angiography and optical coherence tomography.

    abstract::To describe different techniques for the detection of diabetic foveal edema. A retrospective review of the detection of diabetic foveal edema. Noncontact lens biomicroscopy is relatively insensitive in mild foveal thickening apparent on optical coherence tomography. Optical coherence tomography measurements can detect...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0004-27492008000500030

    authors: Hannouche RZ,Avila MP

    更新日期:2008-09-01 00:00:00

  • Optical coherence tomography in patients undergoing cataract surgery.

    abstract:PURPOSE:To assess the ability of spectral domain optical coherence tomography (SD-OCT) to diagnose macular changes pre- and post-cataract surgery and to identify changes in central foveal thickness (CFT) relative to age, sex, and presence of concomitant ophthalmic pathologies, for a period of 6 months post-surgery. ME...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20150062

    authors: Moreira Neto CA,Moreira Júnior CA,Moreira AT

    更新日期:2015-07-01 00:00:00

  • Contact lenses fitting after intracorneal ring segments implantation in keratoconus.

    abstract:PURPOSE:Evaluate contact lenses fitting after intracorneal ring implantation for keratoconus, its visual acuity and comfort. METHODS:Retrospective study of patients undergoing contact lenses fitting, after intracorneal ring for keratoconus. The criterion for contact lens fitting was unsatisfactory visual acuity with s...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492013000400004

    authors: Moreira LB,Bardal RA,Crisigiovanni LR

    更新日期:2013-07-01 00:00:00

  • [Central vein occlusion in a patient using interferon and ribavirin: case report].

    abstract::Interferon and ribavirin are medications widely used in the treatment of some systemic diseases, mainly hepatitis C. Ribavirin when associated with interferon increases the rate of success of this treatment. There are about 170 million patients with chronic hepatitis C in the world, many in use of these medications. T...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000400028

    authors: Helal J Jr,Zacharias LC,de Alencar LM

    更新日期:2006-07-01 00:00:00

  • [Optical coherence tomography macular study on eyes filled with silicone oil].

    abstract:PURPOSE:To demonstrate optical coherence tomography efficacy to evaluate macular anatomical outcomes, in eyes with silicone oil-filled vitreous cavity after vitrectomy. METHODS:A descriptive observational study of 28 (twenty-eight) patients submitted to pars plana vitrectomy having silicone oil as vitreous substitute....

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492007000200017

    authors: Maia OO Jr,Takahashi WY,Nakashima Y,Primiano Júnior HP,Takahashi BS,Nakashima AF

    更新日期:2007-03-01 00:00:00

  • [Familial exudative vitreoretinopathy simulating Coats disease: case report].

    abstract::We report the case of a seven year-old male patient, born at term without any perinatal complications, referred to the Retina/Vitreous Service for diagnostic elucidation. He had a history of progressive visual acuity loss on his left eye that started four years ago. On examination, he had decreased corneal diameter an...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492011000400014

    authors: Lavezzo MM,Barreira AK Jr,Zacharias LC,Takahashi WY

    更新日期:2011-07-01 00:00:00

  • [Aberrant regeneration of the oculomotor nerve followed by intracranial aneurysm: case report].

    abstract::To report a case of aberrant regeneration followed by acute palsy of the oculomotor nerve caused by intracranial aneurysm. A 59-year-old patient was attended in February 2006 complaining of headache with diplopia and blepharoptosis in the right eye. At the external ocular motility exam. Aduction, supraduction and infr...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492008000300028

    authors: Damasceno RW,Corrêa MA

    更新日期:2008-05-01 00:00:00

  • [Retinal nerve fiber layer alteration in chronic users of chloroquine].

    abstract:PURPOSES:To evaluate the retina nerve fiber layer by laser polarimetry in patients in chronic use of chloroquine. METHODS:Forty-four eyes of twenty-two patients were studied. These were in use of chloroquine due to rheumatic diseases during at least one year. As a control group, twenty patients without use of chloroqu...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492005000200008

    authors: Antunes Dde A,Cavalcanti HD,Leal D,Santana HV,Santos RA,Santos LP

    更新日期:2005-03-01 00:00:00

  • Subperiosteal hematoma and orbital compression syndrome following minor frontal trauma in sickle cell anemia: case report.

    abstract::We report the case of an 11-year-old girl with sickle cell disease who presented to the emergency room after being hit by a mud pie in the left frontal region. Examination evidenced left eye proptosis, eyelid swelling, reduced visual acuity and afferent pupillary defect, without any inflammatory signs such as fever, h...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492008000200024

    authors: Procianoy F,Brandão Filho M,Cruz AA,Alencar VM

    更新日期:2008-03-01 00:00:00

  • A new unity for angular measurements in strabismus.

    abstract::The practical advantages of quantifying an angle by a ratio of linear lengths instead of arcs of circles has led to the definition of the prism-diopter, a conventional unity for numbering prisms and measuring strabismic deviations. However, a major inconvenience of using prism-diopter unities to express angular measur...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20140070

    authors: Bicas HE

    更新日期:2014-10-01 00:00:00

  • [Refractional astigmatism prevalence and its relationship with grating acuity in children 2 to 36 months of age].

    abstract:PURPOSE:To evaluate refractional astigmatism prevalence and its relationship with grating acuity in a cohort of non-verbal children. METHODS:482 normal children, aged from 2 to 36 months, were submitted to ophthalmological examination. Fourteen subjects were excluded due to ocular disease and the sample remained with ...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492006000300015

    authors: Lipener C,Munoz Ede H,Moreira JB,Berezovsky A,Salomão SR,Ventura DF

    更新日期:2006-05-01 00:00:00

  • Azithromycin 1.5% ophthalmic solution: efficacy and treatment modalities in chronic blepharitis.

    abstract:PURPOSE:To assess the efficacy of topical 1.5% azithromycin in the treatment of moderate to severe chronic blepharitis and to compare the efficacy of two different treatment modalities. METHODS:A randomized clinical trial included 67 patients with chronic anterior and/or posterior blepharitis, followed-up for 3 months...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,随机对照试验

    doi:10.1590/s0004-27492012000300006

    authors: Fadlallah A,Rami HE,Fahd D,Dunia I,Bejjani R,Chlela E,Waked N,Jabbour E,Fahed S

    更新日期:2012-05-01 00:00:00

  • [Adenovirus conjunctivitis diagnosis using RPS Adenodetector].

    abstract:PURPOSE:To evaluate the RPS Adenodetector, a rapid immunochromatographic test, in the diagnosis of patients with clinical overt adenoviral conjunctivitis. METHODS:Consecutive case series. Patients underwent conjunctiva scraping for RPS Adenodetector test and culture to identify adenovirus. RESULTS:A total of 11 patie...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492007000300010

    authors: Barbosa Junior JB,Regatieri CV,de Paiva TM,Benega MA,Ishida MA,Corrêa KO,de Freitas D,Belfort Junior R

    更新日期:2007-05-01 00:00:00

  • Upper lid crease approach for margin rotation in trachomatous cicatricial entropion without external sutures.

    abstract:PURPOSE:To describe the use of a lid crease incision for upper eyelid margin rotation in cicatricial entropion combining internal traction on the anterior lamella, tarsotomy, and tarsal overlap without external sutures. METHODS:Surgical description: The main steps of the procedure consisted of exposure of the entire t...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20150097

    authors: Cruz AA,Akaishi PM,Al-Dufaileej M,Galindo-Ferreiro A

    更新日期:2015-11-01 00:00:00

  • Boston type I keratoprosthesis: Review.

    abstract::Regardless of significant progress in the field of corneal transplantation to treat corneal opacification, some cases of corneal blindness still present a poor prognosis for conventional penetrating keratoplasty. In patients with repeated graft failure and/or with severe ocular surface disease, the Boston type I kerat...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章,评审

    doi:10.1590/s0004-27492012000300016

    authors: Magalhães FP,Sousa LB,Oliveira LA

    更新日期:2012-05-01 00:00:00

  • [Ectopia lentis et pupillae: case report].

    abstract::The main purpose of this report is to describe a case of ectopia lentis et pupillae syndrome, highlighting the secondary ocular complications and their differential diagnoses. A 27-year-old man presented with complaint of low visual acuity. No evidence of the syndrome was found at presentation. The results of suppleme...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492005000600024

    authors: Bernardes CS,Leite LV,Castro FA

    更新日期:2005-11-01 00:00:00

  • Costs and outcomes of phacoemulsification for cataracts performed by residents.

    abstract:PURPOSE:To describe costs and outcomes of phacoemulsification for cataracts performed by ophthalmology residents. METHODS:We obtained medical records from patients operated on in 2011 by third year residents (R3) using phacoemulsification (n=576). Our expenses estimation included professionals' and hospital costs (fee...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.5935/0004-2749.20200059

    authors: Saad Filho R,Moreto R,Nakaghi RO,Haddad W,Coelho RP,Messias A

    更新日期:2020-06-01 00:00:00

  • [Posterior scleritis: clinical features, systemic association, treatment and evolution of 23 patients].

    abstract:PURPOSE:To document the clinical features, systemic association, treatment and evolution of 23 patients with posterior scleritis evaluated in the Uveitis service of the Federal University of Minas Gerais. METHODS:23 patients were identified with the diagnosis of posterior scleritis. Signals and symptoms, visual acuity...

    journal_title:Arquivos brasileiros de oftalmologia

    pub_type: 杂志文章

    doi:10.1590/s0004-27492009000300008

    authors: Machado Dde O,Curi AL,Bessa TF,Campos WR,Oréfice F

    更新日期:2009-05-01 00:00:00