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Case Reports
. 2010 Aug;30(4):435-8.
doi: 10.1007/s10792-010-9342-7. Epub 2010 Feb 3.

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

R Muralidhar  1 , P Vijayalakshmi, Anil K Gunda
Affiliations
Case Reports

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

R Muralidhar et al. Int Ophthalmol. 2010 Aug.

Abstract

Strabismus is a well recognized complication of retrobulbar anesthesia for cataract surgery. This may manifest as either paresis or sometimes contracture (overaction) in the late stage. Management of the patient is tailored to the individual case. Herein, we report a patient with inferior rectus paresis and medial rectus overaction after retrobulbar anesthesia. The presenting symptom was diplopia increasing on downgaze, which improved with medial rectus recession and plication of the inferior rectus.

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