Diplopia after cataract surgery
Diplopia after cataract surgery
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DOI：
10.1016/s0886-3350(00)00369-2
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发表时间：
2000-08-01
影响因子：
2.8
通讯作者：
Ozawa, T
中科院分区：
文献类型：
--
作者：
Koide, R;Honda, M;Ozawa, T
目的：评估白内障手术后复视的原因。地点：在 7 家医院进行白内障手术并在中心眼科医院进行复视检查。方法：本研究包括 17 名使用球后麻醉的白内障手术后出现复视的患者的 18 只眼睛。进行Hess筛选测试来诊断动眼神经功能障碍。结果：少数病例显示眼球上偏或下偏，但大多数患者有不均匀的眼球运动障碍。术后 1 周内对 3 名患者进行 Hess 图检查，显示眼部肌肉麻痹，但后期出现过度活动，1 个月后眼位逆转即可明显看出。 6例进行斜视手术。 1例白内障术后3个月复视自行改善，视力矫正良好。结论：Hess筛选试验可用于比较手术前后动眼功能的变化。白内障手术后的动眼神经功能障碍可能是由麻醉或使用马勒缝合手术期间的外伤直接引起的，也可能是由于对麻醉剂的敏感性间接引起的。白内障屈光外科杂志2000； 26：1198-1204 (C) 2000 ASCRS 和 ESCRS。
Purpose: To evaluate the cause of diplopia after cataract surgery.Setting: Cataract surgery at 7 hospitals and examination of diplopia at a central eye hospital.Methods: This study comprised 18 eyes of 17 patients with diplopia that developed after cataract surgery in which retrobulbar anesthesia was used. The Hess screen test was done to diagnose oculomotor dysfunction.Results: Several cases showed superior or inferior deviation of the globe, but most patients had nonuniform disturbances of eye movement. Examination of 3 patients by the Hess chart within 1 week after surgery showed paralysis of eye muscles but an overaction at a later stage, evident by reversal of eye position 1 month later. Surgery for strabismus was performed in 6 cases. One case with diplopia improved spontaneously 3 months after cataract surgery and achieved good alignment.Conclusions: The Hess screen test was useful for comparing changes in oculomotor function before and after surgery. Oculomotor dysfunction after cataract surgery may be caused directly by traumatic injury during administration of anesthesia or surgery using bridle sutures or indirectly from sensitivity to anesthetic agents. J Cataract Refract Surg 2000; 26: 1198-1204 (C) 2000 ASCRS and ESCRS.