Change in ocular alignment after topical anesthetic cataract surgery

Abstract

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.

Aniseikonia Induced by Cataract Surgery and Its Effect on Binocular Vision

“…Seven patients having aniseikonia ranging from 1.1 to 11.9% after the first cataract surgery maintained both contour and random dot stereopsis. 24,25 Only five patients had changes in heterophoria at distance and/or near exceeding 4 PD. 22 Considerable interindividual differences also occurred between aniseikonia and stereoacuity.…”

Diplopia in adult patients following cataract extraction and refractive surgery

“…Of those six patients, only one (0.85%) had diplopia. In another series of 160 patients with cataract extraction using topical anesthesia, the incidence of ocular misalignment immediately postoperatively was 8% [6 ]. Two months postoperatively, 5% of patients continued to have misalignment.…”

Diplopia as the Complication of Cataract Surgery

“…Change in ocular alignment in 7% of patients was reported, but only one patient out of 118 (0.85%) had symptomatic diplopia [ 2 ]. In 2009, Chung et al analysed prospectively records of 160 consecutive patients who underwent cataract surgery in topical anaesthesia [ 3 ]. Among those patients only 7 (5%) complained of diplopia; however, they did not seek the medical assistance for its treatment.…”