Rectus muscle trauma complicating sub-Tenon's local anaesthesia
Purpose To describe three cases of rectus muscle trauma in patients undergoing phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia via the inferonasal quadrant. Methods Retrospective review was carried out of 3 cases from 1080 patients w...
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| Veröffentlicht in: | Eye (London) 2001-10, Vol.15 (5), p.583-586 |
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| creator | Jaycock, P D Mather, C M Ferris, J D Kirkpatrick, J N P |
| description | Purpose
To describe three cases of rectus muscle trauma in patients undergoing phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia via the inferonasal quadrant.
Methods
Retrospective review was carried out of 3 cases from 1080 patients who underwent phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia in our unit over a 3 year period up to April 2000.
Results
Two patients complained post-operatively of vertical diplopia and were shown to have restriction of elevation of the eye, which was found at surgical exploration to be due to inferior rectus muscle restriction. One patient had post-operative horizontal diplopia due restriction of abduction and exploration of the medial rectus muscle was planned.
Conclusion
Rectus muscle trauma is proposed as a complication of sub-Tenon's local anaesthesia and caution is advised to operators to clearly identify the sub-Tenon's space for injection of local anaesthetic. |
| doi_str_mv | 10.1038/eye.2001.189 |
| format | Article |
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To describe three cases of rectus muscle trauma in patients undergoing phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia via the inferonasal quadrant.
Methods
Retrospective review was carried out of 3 cases from 1080 patients who underwent phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia in our unit over a 3 year period up to April 2000.
Results
Two patients complained post-operatively of vertical diplopia and were shown to have restriction of elevation of the eye, which was found at surgical exploration to be due to inferior rectus muscle restriction. One patient had post-operative horizontal diplopia due restriction of abduction and exploration of the medial rectus muscle was planned.
Conclusion
Rectus muscle trauma is proposed as a complication of sub-Tenon's local anaesthesia and caution is advised to operators to clearly identify the sub-Tenon's space for injection of local anaesthetic.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.2001.189</identifier><identifier>PMID: 11702966</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Aged ; Aged, 80 and over ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia, Local - adverse effects ; Anesthesia, Local - methods ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Biological and medical sciences ; clinical-study ; Diplopia - etiology ; Female ; Humans ; Laboratory Medicine ; Lens Implantation, Intraocular - adverse effects ; Medical sciences ; Medicine ; Medicine & Public Health ; Oculomotor Muscles - injuries ; Ophthalmology ; Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics ; Phacoemulsification - methods ; Pharmaceutical Sciences/Technology ; Retrospective Studies ; Strabismus - etiology ; Surgery ; Surgical Oncology</subject><ispartof>Eye (London), 2001-10, Vol.15 (5), p.583-586</ispartof><rights>Royal College of Ophthalmologists 2001</rights><rights>2002 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c393t-cb5c4e30afd6cdd0c947429d3f0a7c1f442619026f677cecc3591c0c34fc2faa3</citedby><cites>FETCH-LOGICAL-c393t-cb5c4e30afd6cdd0c947429d3f0a7c1f442619026f677cecc3591c0c34fc2faa3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/eye.2001.189$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/eye.2001.189$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=14095538$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11702966$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Jaycock, P D</creatorcontrib><creatorcontrib>Mather, C M</creatorcontrib><creatorcontrib>Ferris, J D</creatorcontrib><creatorcontrib>Kirkpatrick, J N P</creatorcontrib><title>Rectus muscle trauma complicating sub-Tenon's local anaesthesia</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Purpose
To describe three cases of rectus muscle trauma in patients undergoing phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia via the inferonasal quadrant.
Methods
Retrospective review was carried out of 3 cases from 1080 patients who underwent phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia in our unit over a 3 year period up to April 2000.
Results
Two patients complained post-operatively of vertical diplopia and were shown to have restriction of elevation of the eye, which was found at surgical exploration to be due to inferior rectus muscle restriction. One patient had post-operative horizontal diplopia due restriction of abduction and exploration of the medial rectus muscle was planned.
Conclusion
Rectus muscle trauma is proposed as a complication of sub-Tenon's local anaesthesia and caution is advised to operators to clearly identify the sub-Tenon's space for injection of local anaesthetic.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia, Local - adverse effects</subject><subject>Anesthesia, Local - methods</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Biological and medical sciences</subject><subject>clinical-study</subject><subject>Diplopia - etiology</subject><subject>Female</subject><subject>Humans</subject><subject>Laboratory Medicine</subject><subject>Lens Implantation, Intraocular - adverse effects</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Oculomotor Muscles - injuries</subject><subject>Ophthalmology</subject><subject>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</subject><subject>Phacoemulsification - methods</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Retrospective Studies</subject><subject>Strabismus - etiology</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2001</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpt0M9LwzAUwPEgipvTm2fpRb3YmV9tlpPI8BcMBJngLWSvyay06Uyaw_57M1bYxVMO78N75IvQJcFTgtns3mzNlGJMpmQmj9CYcFHmBS_4MRpjWeCcUvo1Qmch_CTEhcCnaESIwFSW5Rg9fBjoY8jaGKAxWe91bHUGXbtpatB97dZZiKt8aVznbkPWdKCbTDttQv9tQq3P0YnVTTAXwztBn89Py_lrvnh_eZs_LnJgkvU5rArghmFtqxKqCoPkglNZMYu1AGI5pyWRmJa2FAIMACskAQyMW6BWazZBN_u9G9_9xnRdtXUA0zTamS4GJSgVjBcswbs9BN-F4I1VG1-32m8VwWoXTKVgahdMpWCJXw1746o11QEPhRK4HoAO6e_Wawd1ODieIhdslly-dyGN3Np49dNF71KT_w__AVp2gr4</recordid><startdate>20011001</startdate><enddate>20011001</enddate><creator>Jaycock, P D</creator><creator>Mather, C M</creator><creator>Ferris, J D</creator><creator>Kirkpatrick, J N P</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20011001</creationdate><title>Rectus muscle trauma complicating sub-Tenon's local anaesthesia</title><author>Jaycock, P D ; Mather, C M ; Ferris, J D ; Kirkpatrick, J N P</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c393t-cb5c4e30afd6cdd0c947429d3f0a7c1f442619026f677cecc3591c0c34fc2faa3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2001</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia, Local - adverse effects</topic><topic>Anesthesia, Local - methods</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Biological and medical sciences</topic><topic>clinical-study</topic><topic>Diplopia - etiology</topic><topic>Female</topic><topic>Humans</topic><topic>Laboratory Medicine</topic><topic>Lens Implantation, Intraocular - adverse effects</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Oculomotor Muscles - injuries</topic><topic>Ophthalmology</topic><topic>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</topic><topic>Phacoemulsification - methods</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Retrospective Studies</topic><topic>Strabismus - etiology</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Jaycock, P D</creatorcontrib><creatorcontrib>Mather, C M</creatorcontrib><creatorcontrib>Ferris, J D</creatorcontrib><creatorcontrib>Kirkpatrick, J N P</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Jaycock, P D</au><au>Mather, C M</au><au>Ferris, J D</au><au>Kirkpatrick, J N P</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Rectus muscle trauma complicating sub-Tenon's local anaesthesia</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>2001-10-01</date><risdate>2001</risdate><volume>15</volume><issue>5</issue><spage>583</spage><epage>586</epage><pages>583-586</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>Purpose
To describe three cases of rectus muscle trauma in patients undergoing phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia via the inferonasal quadrant.
Methods
Retrospective review was carried out of 3 cases from 1080 patients who underwent phacoemulsification cataract extraction and intraocular lens implantation under sub-Tenon's local anaesthesia in our unit over a 3 year period up to April 2000.
Results
Two patients complained post-operatively of vertical diplopia and were shown to have restriction of elevation of the eye, which was found at surgical exploration to be due to inferior rectus muscle restriction. One patient had post-operative horizontal diplopia due restriction of abduction and exploration of the medial rectus muscle was planned.
Conclusion
Rectus muscle trauma is proposed as a complication of sub-Tenon's local anaesthesia and caution is advised to operators to clearly identify the sub-Tenon's space for injection of local anaesthetic.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>11702966</pmid><doi>10.1038/eye.2001.189</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| source | MEDLINE; Springer Nature - Complete Springer Journals; Elektronische Zeitschriftenbibliothek - Frei zugängliche E-Journals |
| subjects | Aged Aged, 80 and over Anesthesia Anesthesia depending on type of surgery Anesthesia, Local - adverse effects Anesthesia, Local - methods Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Biological and medical sciences clinical-study Diplopia - etiology Female Humans Laboratory Medicine Lens Implantation, Intraocular - adverse effects Medical sciences Medicine Medicine & Public Health Oculomotor Muscles - injuries Ophthalmology Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics Phacoemulsification - methods Pharmaceutical Sciences/Technology Retrospective Studies Strabismus - etiology Surgery Surgical Oncology |
| title | Rectus muscle trauma complicating sub-Tenon's local anaesthesia |
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