Change in ocular alignment after topical anesthetic cataract surgery

Background To report the incidence of, and change in ocular misalignment following topical anesthetic cataract surgery. Methods Prospectively, 160 consecutive patients who were scheduled for cataract surgery under topical anesthesia were evaluated. All patients had a complete ophthalmic examination,...

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Veröffentlicht in:Graefe's archive for clinical and experimental ophthalmology 2009-09, Vol.247 (9), p.1269-1272
Hauptverfasser: Chung, Seung Ah, Kim, Chan Yoon, Chang, Jee Ho, Hong, Samin, Kang, Sung Yong, Seong, Gong Je, Lee, Jong Bok
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container_end_page 1272
container_issue 9
container_start_page 1269
container_title Graefe's archive for clinical and experimental ophthalmology
container_volume 247
creator Chung, Seung Ah
Kim, Chan Yoon
Chang, Jee Ho
Hong, Samin
Kang, Sung Yong
Seong, Gong Je
Lee, Jong Bok
description Background To report the incidence of, and change in ocular misalignment following topical anesthetic cataract surgery. Methods Prospectively, 160 consecutive patients who were scheduled for cataract surgery under topical anesthesia were evaluated. All patients had a complete ophthalmic examination, including ocular alignment evaluation, just before and 1 day, 1 week, 3 weeks, and 2 months after cataract surgery. Results Preoperatively, 26 patients had ocular misalignment. Mean deviation in these preexisting misalignment was 7.2 ± 6.8 prism diopters (PD). Postoperatively, the angle of deviation improved to 5.4 ± 7.4 PD. Acquired ocular misalignment after cataract surgery occurred in 12 of 160 patients (8%) at 1 day, and seven of 131 (5%) at 2 months. None of these seven patients sought medical attention for the diplopia. Conclusions The overall incidence of topical anesthesia-related change in ocular alignment after uneventful cataract surgery was 5%. However, no patients had symptomatic diplopia. Topical anesthetic cataract surgery could abolish the risk of postoperative diplopia and improve the heterophoric status of preexisting misalignment.
doi_str_mv 10.1007/s00417-009-1084-8
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Methods Prospectively, 160 consecutive patients who were scheduled for cataract surgery under topical anesthesia were evaluated. All patients had a complete ophthalmic examination, including ocular alignment evaluation, just before and 1 day, 1 week, 3 weeks, and 2 months after cataract surgery. Results Preoperatively, 26 patients had ocular misalignment. Mean deviation in these preexisting misalignment was 7.2 ± 6.8 prism diopters (PD). Postoperatively, the angle of deviation improved to 5.4 ± 7.4 PD. Acquired ocular misalignment after cataract surgery occurred in 12 of 160 patients (8%) at 1 day, and seven of 131 (5%) at 2 months. None of these seven patients sought medical attention for the diplopia. Conclusions The overall incidence of topical anesthesia-related change in ocular alignment after uneventful cataract surgery was 5%. However, no patients had symptomatic diplopia. Topical anesthetic cataract surgery could abolish the risk of postoperative diplopia and improve the heterophoric status of preexisting misalignment.</description><identifier>ISSN: 0721-832X</identifier><identifier>EISSN: 1435-702X</identifier><identifier>DOI: 10.1007/s00417-009-1084-8</identifier><identifier>PMID: 19404663</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer-Verlag</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia, Local ; Anesthetics, Local - administration &amp; dosage ; Cataract ; Child ; Diplopia - epidemiology ; Diplopia - etiology ; Diplopia - physiopathology ; Female ; Humans ; Incidence ; Lens Implantation, Intraocular ; Male ; Medicine ; Medicine &amp; Public Health ; Middle Aged ; Ophthalmology ; Phacoemulsification ; Postoperative Complications ; Prospective Studies ; Strabismus - epidemiology ; Strabismus - etiology ; Strabismus - physiopathology ; Visual Acuity - physiology ; Young Adult</subject><ispartof>Graefe's archive for clinical and experimental ophthalmology, 2009-09, Vol.247 (9), p.1269-1272</ispartof><rights>Springer-Verlag 2009</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c394t-bd9e0be576ab8038c5f2340ba7d0370aa1998e36db74ecb2131de50455d6f59c3</citedby><cites>FETCH-LOGICAL-c394t-bd9e0be576ab8038c5f2340ba7d0370aa1998e36db74ecb2131de50455d6f59c3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00417-009-1084-8$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00417-009-1084-8$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19404663$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Chung, Seung Ah</creatorcontrib><creatorcontrib>Kim, Chan Yoon</creatorcontrib><creatorcontrib>Chang, Jee Ho</creatorcontrib><creatorcontrib>Hong, Samin</creatorcontrib><creatorcontrib>Kang, Sung Yong</creatorcontrib><creatorcontrib>Seong, Gong Je</creatorcontrib><creatorcontrib>Lee, Jong Bok</creatorcontrib><title>Change in ocular alignment after topical anesthetic cataract surgery</title><title>Graefe's archive for clinical and experimental ophthalmology</title><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><addtitle>Graefes Arch Clin Exp Ophthalmol</addtitle><description>Background To report the incidence of, and change in ocular misalignment following topical anesthetic cataract surgery. Methods Prospectively, 160 consecutive patients who were scheduled for cataract surgery under topical anesthesia were evaluated. All patients had a complete ophthalmic examination, including ocular alignment evaluation, just before and 1 day, 1 week, 3 weeks, and 2 months after cataract surgery. Results Preoperatively, 26 patients had ocular misalignment. Mean deviation in these preexisting misalignment was 7.2 ± 6.8 prism diopters (PD). Postoperatively, the angle of deviation improved to 5.4 ± 7.4 PD. Acquired ocular misalignment after cataract surgery occurred in 12 of 160 patients (8%) at 1 day, and seven of 131 (5%) at 2 months. None of these seven patients sought medical attention for the diplopia. Conclusions The overall incidence of topical anesthesia-related change in ocular alignment after uneventful cataract surgery was 5%. However, no patients had symptomatic diplopia. 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Topical anesthetic cataract surgery could abolish the risk of postoperative diplopia and improve the heterophoric status of preexisting misalignment.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer-Verlag</pub><pmid>19404663</pmid><doi>10.1007/s00417-009-1084-8</doi><tpages>4</tpages></addata></record>
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subjects Adolescent
Adult
Aged
Aged, 80 and over
Anesthesia, Local
Anesthetics, Local - administration & dosage
Cataract
Child
Diplopia - epidemiology
Diplopia - etiology
Diplopia - physiopathology
Female
Humans
Incidence
Lens Implantation, Intraocular
Male
Medicine
Medicine & Public Health
Middle Aged
Ophthalmology
Phacoemulsification
Postoperative Complications
Prospective Studies
Strabismus - epidemiology
Strabismus - etiology
Strabismus - physiopathology
Visual Acuity - physiology
Young Adult
title Change in ocular alignment after topical anesthetic cataract surgery
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