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Change in ocular alignment after topical anesthetic cataract surgery

Authors
 Seung Ah Chung  ;  Chan Yoon Kim  ;  Jee Ho Chang  ;  Samin Hong  ;  Sung Yong Kang  ;  Gong Je Seong  ;  Jong Bok Lee 
Citation
 GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, Vol.247(9) : 1269-1272, 2009 
Journal Title
GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY
ISSN
 0721-832X 
Issue Date
2009
MeSH
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Anesthesia, Local ; Anesthetics, Local/administration & dosage* ; Child ; Diplopia/epidemiology ; Diplopia/etiology ; Diplopia/physiopathology ; Female ; Humans ; Incidence ; Lens Implantation, Intraocular* ; Male ; Middle Aged ; Phacoemulsification* ; Postoperative Complications* ; Prospective Studies ; Strabismus/epidemiology ; Strabismus/etiology* ; Strabismus/physiopathology ; Visual Acuity/physiology ; Young Adult
Keywords
Incidence ; Change ; Ocular misalignment ; Cataract surgery ; Topical anesthesia
Abstract
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
Full Text
http://link.springer.com/article/10.1007%2Fs00417-009-1084-8
DOI
10.1007/s00417-009-1084-8
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Ophthalmology (안과학교실) > 1. Journal Papers
Yonsei Authors
Kang, Sung Yong(강성용)
Kim, Chan Yun(김찬윤) ORCID logo https://orcid.org/0000-0002-8373-9999
Seong, Gong Je(성공제) ORCID logo https://orcid.org/0000-0002-5456-4296
Lee, Jong Bok(이종복)
Chang, Jee Ho(장지호)
Chung, Seung Ah(정승아)
Hong, Sa Min(홍사민)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/104155
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