Inferior rectus paresis and medial rectus overaction following retrobulbar anesthesia for cataract surgery

Muralidhar, R; Vijayalakshmi, P; Gunda, Anil K.

doi:10.1007/s10792-010-9342-7

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…The surgical procedures are usually performed on vertical muscles: inferior rectus or superior rectus recessions [ 21 , 46 ]. Occasionally inferior rectus plication may be performed [ 47 ]. In cases with the presence of horizontal component of deviation, horizontal muscles are also operated on [ 1 ].…”

Section: Treatmentmentioning

confidence: 99%

Diplopia as the Complication of Cataract Surgery

Gawęcki¹,

Grzybowski

2016

Journal of Ophthalmology

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The authors present systematic review of aetiology and treatment of diplopia related to cataract surgery. The problem is set in the modern perspective of changing cataract surgery. Actual incidence is discussed as well as various modalities of therapeutic options. The authors provide the guidance for the contemporary cataract surgeon, when to expect potential problem in ocular motility after cataract surgery.

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Section: Treatmentmentioning

confidence: 99%

Diplopia as the Complication of Cataract Surgery

Gawęcki¹,

Grzybowski

2016

Journal of Ophthalmology

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“…16 PD right hypertropia in primary position after trauma and underwent right IR muscle resection (4 mm) at the first operation.TABLE 1. Comparison of pre-and postoperative deviations of the patients diagnosed with IR muscle palsy.…”

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confidence: 99%

Clinical features and surgical outcomes of isolated inferior rectus muscle paralysis

et al. 2014

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The presence of both ipsilateral and contralateral compensatory head postures in our patients showed that three-step or head-tilt test is not helpful in the diagnosis of IR muscle palsy. In comparison with other studies, more patients in our study were treated with IR muscle resection alone. Also, our reoperation rate was lower than other studies. Absence of gross abnormality in the IR muscles at the operation and partial nature of the paresis may explain these good results. Thus, a considerable number of IR muscle palsy cases with the above characteristics may be treated successfully by one muscle surgery (IR muscle resection).

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“…Plausible advantages of rectus plication reportedly include simplicity; short operating time; less surgical trauma, inflammation, and hemorrhage; and early reversibility. [2][3][4][7][8][9][10][11][30][31][32] These advantages are extended by the present study's demonstration of response predictability and similarity to resection effect. Plication with minimal dissection, adapted to the small-incision technique, may offer further advantages.…”

Section: Discussionmentioning

confidence: 99%

Surgical Outcomes Following Rectus Muscle Plication

Zia

Demer

2014

JAMA Ophthalmol

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IMPORTANCE Extraocular muscle strengthening is a common treatment for strabismus. Plication is an alternative procedure for strengthening muscles with less tissue trauma than resection. OBJECTIVE To compare the surgical dose effect of plication with that of resection. DESIGN, SETTING, AND PARTICIPANTS Retrospective comparison of surgical outcomes in an academic pediatric ophthalmology and strabismus practice from July 25, 2005, through March 28, 2013, with a mean follow-up of 137 days for plication and 1243 days for resection. A single surgeon performed all procedures. Twenty-two consecutive patients underwent bilateral horizontal rectus plication or plication combined with antagonist recession (13 with esotropia and 9 with exotropia; mean [SD] age, 38 [21] years). Thirty-one consecutive patients underwent bilateral resection or resection combined with antagonist recession (12 with esotropia and 19 with exotropia; mean [SD] age, 28 [24] years). Six patients underwent vertical rectus plication. EXPOSURES Rectus resection or plication performed by folding the anterior tendon posteriorly under the muscle margins oversewn to the poles of the scleral insertion, avoiding the anterior ciliary arteries. MAIN OUTCOMES AND MEASURES Postoperative binocular alignment at the first postoperative and last available examinations. RESULTS Lateral rectus plication (mean [SD], 6.5 [2.2] mm) and resection (6.6 [1.6] mm) were performed for similar magnitudes of esotropia (27.9 [13.4] prism diopters [PD] for plication, 29.0 [15.2] PD for resection; P = .44). Mean (SD) initial correction by lateral rectus plication was 5.17 (0.29) PD/mm, slightly less than the 95% CI (5.51-7.75 PD/mm) for resection (6.63 [0.50] PD/mm). Medial rectus plication (mean [SD], 4.9 [0.9] mm) vs resection (5.1 [1.1] mm) was performed for similar magnitudes of exotropia (32.8 [14.2] PD for plication, 31.2 [15.6] PD for resection; P = .33). Mean (SD) initial correction by medial rectus plication (7.10 [1.65] PD/mm) was within the 95% CI (4.65-9.87 PD/mm) for resection (7.26 [1.23] PD/mm). Initial and late effects were similar. Ciliary circulation observed at surgery remained patent after plication. Plication was cosmetically acceptable and did not produce conspicuous tissue elevations. CONCLUSIONS AND RELEVANCE Horizontal rectus muscle plication is a rapidly performed, technically simple surgical procedure to strengthen the rectus muscles, with an equivalent (per millimeter) in surgical effect to that of medial rectus resection for treatment of esotropia and exotropia. Plication diminishes surgical trauma and does not intentionally sacrifice ciliary circulation, with the potential for reversal by suture release in the first postoperative days.

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Inferior rectus paresis and medial rectus overaction following retrobulbar anesthesia for cataract surgery

Cited by 3 publications

References 12 publications

Diplopia as the Complication of Cataract Surgery

Diplopia as the Complication of Cataract Surgery

Clinical features and surgical outcomes of isolated inferior rectus muscle paralysis

Surgical Outcomes Following Rectus Muscle Plication

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