Abstract:
BACKGROUND:Reports of acquired strabismus caused by injection of local anesthetics during cataract surgery have increased recently. The authors proposed a mechanism to explain the occurrence of strabismus with apparent overactive muscles after cataract surgery. METHODS:The authors studied 19 patients in whom strabismus developed after cataract surgery. Prism and cover test in the diagnostic positions of gaze and forced-duction testing were used to identify the affected muscles. RESULTS:The deviation was greater in the field of action of the presumed tight muscle in 16 of 19 patients. An ipsilateral hypertropia with superior rectus muscle overaction subsequently developed in two patients with an initial hypotropia. An overaction of the ipsilateral lateral rectus muscle causing an exotropia developed in one patient with initially limited abduction. CONCLUSIONS:Myotoxicity from direct injection of local anesthetics into an extraocular muscle probably causes transient paresis followed by segmental contracture of the involved muscle. Mild contractures result in strabismus with a motility pattern of an overactive muscle. Larger amounts of contracture lead to restrictive strabismus. The risk of strabismus may be decreased by administering the local anesthetic into sub-Tenon space using a blunt-tipped cannula when performing cataract surgery.
journal_name
Ophthalmologyjournal_title
Ophthalmologyauthors
Capó H,Guyton DLdoi
10.1016/s0161-6420(96)30623-4subject
Has Abstractpub_date
1996-05-01 00:00:00pages
721-30issue
5eissn
0161-6420issn
1549-4713pii
S0161-6420(96)30623-4journal_volume
103pub_type
杂志文章相关文献
OPHTHALMOLOGY文献大全abstract:PURPOSE:To ascertain the clinical features, visual outcome, and recurrence rates of ocular toxoplasmosis (OT) in a large series of patients. To determine the efficacy of various treatment strategies and identify the patients at risk of visual loss. DESIGN:Retrospective noncomparative observational case series. PARTIC...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(02)00990-9
更新日期:2002-05-01 00:00:00
abstract:BACKGROUND:Dapsone is used widely in treating ocular cicatricial pemphigoid, leprosy, and dermatologic disorders. Hemolysis is a well-known complication of dapsone therapy. Rarely, neutropenia or agranulocytosis may occur, resulting in up to a 50% mortality rate. To the authors' knowledge, agranulocytosis has not been ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(94)31098-0
更新日期:1994-11-01 00:00:00
abstract:PURPOSE:To illustrate the role of surgical removal of iris nodules (granulomas) in the management of sarcoid uveitis. STUDY DESIGN:Two interventional case reports. METHODS:The authors describe the clinical course of two 10-year-old males with long-standing granulomatous uveitis refractory to medical antiinflammatory ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(01)00601-7
更新日期:2001-07-01 00:00:00
abstract:PURPOSE:To determine the intraocular pressure (IOP) profile during and after systemic dexamethasone treatment in preterm very low birth weight (VLBW; <1500 g) infants. DESIGN:A cohort study at a university-affiliated tertiary neonatal center. PARTICIPANTS:Twenty-seven VLBW infants who received a 3-week dose-tapering ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2008.01.010
更新日期:2008-05-01 00:00:00
abstract:PURPOSE:To compare the timing, radiologic, and clinical indications for surgical management of orbital floor fractures in the pediatric and adult populations. DESIGN:Retrospective observational case series. PARTICIPANTS:Twenty-four pediatric and 31 adult patients who underwent primary repair of an orbital floor fract...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2008.02.025
更新日期:2008-09-01 00:00:00
abstract:PURPOSE:To assess the risk of advanced age-related macular degeneration (AMD) developing after cataract surgery. DESIGN:Cohort study. PARTICIPANTS:Four thousand five hundred seventy-seven participants (8050 eyes) from a multicenter, controlled, randomized clinical trial, the Age-Related Eye Disease Study (AREDS). ME...
journal_title:Ophthalmology
pub_type: 杂志文章,多中心研究,随机对照试验
doi:10.1016/j.ophtha.2008.09.019
更新日期:2009-02-01 00:00:00
abstract::Eyelid surgery for patients with ocular cicatricial pemphigoid is risky when there is unchecked perioperative inflammation. The authors performed buccal mucosal grafts on 42 eyelids (23 eyes) of 17 patients with ocular cicatricial pemphigoid whose disease was controlled by systemic immunosuppression. Results were grad...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(92)31962-1
更新日期:1992-03-01 00:00:00
abstract:PURPOSE:To determine the frequency of exposure to Helicobacter pylori infection in glaucoma patients. DESIGN:Prospective case-control study. PARTICIPANTS:Ninety-seven consecutive patients attending a glaucoma clinic. These included 38 patients with primary open-angle glaucoma (POAG), 19 with normal pressure glaucoma ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/S0161-6420(03)00093-9
更新日期:2003-05-01 00:00:00
abstract:PURPOSE:Recent studies have shown a relationship between elevated levels of homocysteine and vascular disease including cerebrovascular accidents and myocardial infarctions. We evaluated patients with a recent retinal vein occlusion to determine if there was an associated elevation of homocysteine. DESIGN:Age and gend...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(01)00923-x
更新日期:2002-02-01 00:00:00
abstract:PURPOSE:To determine whether the type of health insurance a patient possesses and a patient's race/ethnicity affect receipt of common tests to monitor open-angle glaucoma (OAG). DESIGN:Retrospective longitudinal cohort study. PARTICIPANTS:A total of 21 766 persons aged ≥40 years with newly diagnosed OAG between 2007 ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2017.05.003
更新日期:2017-10-01 00:00:00
abstract:BACKGROUND:Radioactive episcleral plaque brachytherapy is a treatment method for selected retinoblastomas. The authors have used this technique since 1976 as both a primary and a secondary treatment method after other methods failed to achieve tumor control. METHODS:A review of the records of 400 consecutive children ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(93)31667-2
更新日期:1993-02-01 00:00:00
abstract::Endothelial cell loss, persistent cystoid macular edema and a chronic low-grade uveitis may complicate intracapsular cataract extraction combined with iris supported intraocular lenses. Clinical examination of 19 eyes of 17 patients, at 1.1 to 5 years after cataract surgery, and correlation with wide field specular mi...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(84)34228-2
更新日期:1984-07-01 00:00:00
abstract::A case of preseptal cellulitis caused by Mycobacterium intracellulare is presented. A 56-year-old white woman developed erythema, induration, and tenderness of the lids of her right eye after chalazion removal, which did not respond to three weeks of broad spectrum antibiotics. Incision and drainage with biopsy reveal...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(82)34762-4
更新日期:1982-05-01 00:00:00
abstract:BACKGROUND:To investigate the potential contribution of inflammatory and immune-mediated processes contributing to the pathogenesis of proliferative vitreoretinopathy (PVR), an immunohistochemical study was undertaken to characterize the infiltrating inflammatory cells in epiretinal membranes surgically removed from th...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(92)31793-2
更新日期:1992-09-01 00:00:00
abstract:PURPOSE:To characterize the phenotype and investigate the associations of intraretinal crystalline deposits in a large cohort with type 2 idiopathic macular telangiectasia (MacTel). DESIGN:Case-control study. PARTICIPANTS:Patients with and without retinal crystals from the Macular Telangiectasia Project, an internati...
journal_title:Ophthalmology
pub_type: 杂志文章,多中心研究
doi:10.1016/j.ophtha.2011.05.022
更新日期:2011-12-01 00:00:00
abstract:PURPOSE:The existence of genetic variations in a number of cytokines has been considered to influence susceptibility or relate to disease severity in various autoimmune diseases. Among these, single-nucleotide polymorphisms (SNPs) of the tumor necrosis factor alpha (TNF-alpha) promoter at nucleotides -308 and -238 are ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2006.01.004
更新日期:2006-04-01 00:00:00
abstract:PURPOSE:This study estimates the prevalence of common visual disorders (amblyopia, strabismus, refractive errors) in a group of inner-city school children. In addition, the study addresses the issue of access to care for vision-screening programs, specifically for children with recognized difficulties in obtaining rout...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(96)30753-7
更新日期:1996-01-01 00:00:00
abstract:OBJECTIVE:To examine whether oral fluoroquinolone antibiotics are associated with an increase in subsequent rhegmatogenous retinal detachment and symptomatic retinal breaks in a large population-based cohort. DESIGN:Population-based cohort study. PARTICIPANTS AND CONTROLS:Adult residents of Olmsted County, Minnesota,...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2013.12.006
更新日期:2014-06-01 00:00:00
abstract:BACKGROUND/PURPOSE:To assess the potential of a new diagnostic technique called optical coherence tomography for imaging macular disease. Optical coherence tomography is a novel noninvasive, noncontact imaging modality which produces high depth resolution (10 microns) cross-sectional tomographs of ocular tissue. It is ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(95)31032-9
更新日期:1995-02-01 00:00:00
abstract:OBJECTIVE:The objective of this report was to evaluate ocular and systemic outcomes after primary transpupillary thermotherapy for choroidal melanoma and to identify the limitations of this treatment method. DESIGN:Noncomparative interventional case series. PARTICIPANTS:The participants included 256 patients with new...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(01)00902-2
更新日期:2002-02-01 00:00:00
abstract:AIM:To report a rare presentation of colloid milium occurring only on the upper eyelid margins. DESIGN:Interventional case report. METHODS:(1) Slit-lamp examination of eyelids and eyes and clinical examination including the face and a general physical examination; (2) photography of the lesions on the lids; and (3) e...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(02)01180-6
更新日期:2002-10-01 00:00:00
abstract:BACKGROUND:Although allergic fungal sinusitis is a relatively common, noninvasive form of paranasal sinus mycosis, and despite frequent orbital involvement, there have been few reports of this condition in the ophthalmic literature. METHODS:Two cases of allergic fungal sinusitis having orbital symptoms are described. ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(97)30054-2
更新日期:1997-12-01 00:00:00
abstract:OBJECTIVE:To describe the safety and efficacy of an analgesia protocol that enables the surgeon to maintain control over an alert patient experiencing seemingly painless ambulatory cataract surgery, while eliminating the risks and side effects associated with general, local, topical, and intracameral anesthesia. DESIG...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(00)00008-7
更新日期:2000-05-01 00:00:00
abstract:OBJECTIVE:To examine choroidopathy in patients with Behçet disease. DESIGN:Prospective clinical study. PARTICIPANTS:Thirty-three patients (63 eyes) with Behçet disease. INTERVENTION:Patients underwent simultaneous indocyanine green (ICG) and fluorescein angiography with a double detector of scanning laser ophthalmos...
journal_title:Ophthalmology
pub_type: 临床试验,杂志文章
doi:10.1016/S0161-6420(99)90069-6
更新日期:1999-02-01 00:00:00
abstract:OBJECTIVE:To describe the successful treatment and long-term outcomes of primary ocular surface squamous neoplasia (OSSN) with topical interferon alfa-2b or surgical excision. DESIGN:Retrospective, comparative, interventional case series. PARTICIPANTS:Twenty-nine consecutive patients with OSSN never before treated. ...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/j.ophtha.2008.01.006
更新日期:2008-08-01 00:00:00
abstract:OBJECTIVE:To determine the severity of visual acuity impairment in patients, age 45 years or older, with either isolated or identifiable genetic subtypes of retinitis pigmentosa (RP) and Usher syndrome. DESIGN:Multicenter, retrospective, cross-sectional analysis. PARTICIPANTS:Visual acuity data were obtained on 999 p...
journal_title:Ophthalmology
pub_type: 杂志文章,多中心研究
doi:10.1016/S0161-6420(99)90342-1
更新日期:1999-09-01 00:00:00
abstract:BACKGROUND:Patients at risk for retinol deficiency in developed countries include those with hepatic dysfunction and malabsorption states. Symptoms of retinol deficiency may go unrecognized or unreported. METHODS:The authors describe 15 patients with hepatic dysfunction, two of whom had procedures that would predispos...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(94)38029-8
更新日期:1994-06-01 00:00:00
abstract:PURPOSE:This is a pilot study to assess the use of autologous plasmin enzyme (APE) as an adjunct to vitreous surgery in eyes with advanced diabetic retinopathy. DESIGN:Prospective noncomparative interventional case series. PARTICIPANTS:Seven patients with advanced diabetic retinopathy selected at random from our prac...
journal_title:Ophthalmology
pub_type: 临床试验,杂志文章
doi:10.1016/s0161-6420(01)00720-5
更新日期:2001-10-01 00:00:00
abstract:PURPOSE:To review the clinical characteristics, prevalence, and severity of retinopathy in diabetics with cranial nerve (CN) 3, 4, and/or 6 palsies, and to determine the relationship between type and duration of diabetes mellitus (DM), presence of retinopathy, and occurrence of CN palsy. DESIGN:Retrospective, comparat...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/S0161-6420(03)00542-6
更新日期:2003-08-01 00:00:00
abstract:BACKGROUND:Orbital decompression has been used to describe surgical procedures that remove some portion of the orbital walls to reduce pressure on the orbital contents. Substantial morbidity associated with these procedures includes infraorbital anesthesia, worsened extraocular motility, globe displacement, and blindne...
journal_title:Ophthalmology
pub_type: 杂志文章
doi:10.1016/s0161-6420(93)31589-7
更新日期:1993-05-01 00:00:00