PMID: 9423914Jan 10, 1998Paper

Postanesthetic hypotropia: a unique syndrome in left eyes

Journal of Cataract and Refractive Surgery
J M Corboy, X Jiang

Abstract

To investigate a recurring syndrome of postoperative hypotropia after cataract surgery performed under local anesthesia. Hawaiian Eye Center, Wahiawa, Hawaii, USA. Thirty-one left eyes in 2143 cataract surgeries developed postoperative hypotropia. Phacoemulsification and intraocular lens implantation were performed by one surgeon; the anesthetic (containing bupivacaine) was administered by one anesthesiologist who had treated 4200 patients without incident. We conducted epidemiologic, outcomes, and prevention studies to identify the etiology, evaluate hypotropia treatment, and test specific anesthetic techniques, respectively. Changes in preoperative and intraoperative management and surgical methods were unsuccessful in preventing the hypotropia. In 55% of the cases, strabismus surgery was required and in 13%, prism glasses. Early recession of the inferior rectus and conjunctiva was successful. After repeated observations of the anesthetic technique, it was noted that the right-handed anesthesiologist misdirected the retrobulbar needle into the left orbit. This resulted in a change in the anesthetic technique, and there has been no incidence of postoperative hypotropia in 3000 surgeries. We believe this syndrome resulted from ...Continue Reading

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Citations

Oct 2, 2001·Survey of Ophthalmology·J J DuttonG Broocker
May 16, 2000·Ophthalmology·W J RandG E Velazquez
Mar 20, 2004·Journal of Cataract and Refractive Surgery·Elizabeth L IrvingMartin J Steinbach
Jun 4, 1998·Journal of Cataract and Refractive Surgery·R C Hamilton
Jul 1, 1999·Current Opinion in Ophthalmology·R Bellucci
Mar 8, 2014·International Ophthalmology·Julio González-Martín-MoroRoberto García-Leal
Jan 29, 2003·Journal of Cataract and Refractive Surgery·Soo Kyung Han, Jeong Min Hwang
Nov 16, 2001·Journal of Cataract and Refractive Surgery·F S JehanM Subramanian
Dec 17, 2008·Seminars in Ophthalmology·David L Guyton
Mar 22, 2016·Journal of Ophthalmology·Maciej Gawęcki, Andrzej Grzybowski
Aug 26, 2010·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Cheng ZhangDavid L Guyton
May 11, 2010·Survey of Ophthalmology·Suqin GuoMarco Zarbin
Apr 28, 2009·Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus·Alan B ScottKevin R Shieh
Aug 21, 2014·Clinical & Experimental Optometry : Journal of the Australian Optometrical Association·George KalantzisIlias Georgalas
Jul 29, 2017·Journal of Pediatric Ophthalmology and Strabismus·Ethan K Sobol, Jamie B Rosenberg
Jan 1, 2004·The American Orthoptic Journal·Mitchell B Strominger
May 22, 2003·Seminars in Ophthalmology·Michael S LeeSimmons Lessell
Feb 27, 2021·Strabismus·Mirjam Johanna Rossel-ZemkouoDaniel J Salchow
Feb 21, 2004·Journal of Pediatric Ophthalmology and Strabismus·Nicholas G StrouthidisChristopher J Hammond
Jan 23, 2003·British Journal of Anaesthesia·J I Gómez-ArnauA Arias

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