Avaliação da motilidade extrínseca ocular de pacientes facectomizados sob anestesia retrobulbar

Avaliação da motilidade extrínseca ocular de pacientes facectomizados sob anestesia retrobulbar


Mauro Goldchmit,
Alan B. Scott


Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.57 no.2 São Paulo abr. 1994


Persistent binocular diplopia was related as a complication of ocular surgery under local anesthesia. The literature shows that the anesthetic used caused toxic effects on extraocular musculature.

A prospective evaluation of pre and postoperative ocular motility of cataract patients operated tinder retrobulbar anesthesia with 0.75% bupivacaine hydrochloride was accomplished, study showed that 7 patients complaining of persistent binocular diplopia presented similar behavior pattern on the muscle function during the postoperative period. The inferior rectus muscle showed weakliness until the first week totally recovering it function between the sixth and ninth weeks; contrariwise, the superior rectus muscle showed a discreet weakness until the first week. that intensified between the sixth and ninth weeks.


1 KNAPP, H. - On cocaine and its use in ophthalmic and general surgery. Arch Ophthalmol, 13:402-48, 1884.
2 FEIEL, R. M. - Current concepts in retrobulbar anesthesia. Surv Ophthalmol, 30:102-9, 1985.
3 JAFFE, N. S.; JAFFE, M. S. JAFFE, G. F. - Cataract surgery and its complications. 5ª ed. C.V. Mosby p.34-42, 1990.
4 KATSEV, D. A.; DREWS, R. C. ROSE, B. T. - An anatomic study of retrobulbar needle path length. Ophthalmology, 96:1121-4, 1989.
5 RAININ, E. A. CARLSON, B. M. - Postoperative diplopia and ptosis. A clinical hypohesis based on the myotoxicity of local anesthetics. Arch Ophthalmol, 103:1337-39, 1985.
6 HOYT, C. - Diplopia alter cataract surgery. Audio journal review. Ophthalmology, 16, 1990.
7 PRATT-JOHNSON, J. A. & TILLSON, G. - Intractable diplopia after vision restoration in unilateral cataract. Am J Ophthalmol, 107:23-6, 1989.
8 BURNS, C. L. & SEIGEL, L. A. - Inferior rectus recession for vertical tropia after cataract sugery. Ophthalmology, 95:1120-24, 1988.
9 HAMED, L. M.; HELVESTON, E. M. & ELLIS, F. D. - Persistent binocular diplopia alter cataract Surgery. Am J Ophthalmol, 103: 741-4, 1987.
10 CATALANO, R. A. et alli - Persistent strabismus presenting after cataract surgery. Ophthalmology, 94:491-4, 1987.
11 HAMED, L. M. & LINGUA, R. W. - Thyroid eye disease presenting alter cataract surgery. J Pediatr Ophthalmol Strabismus, 27:10-5, 1990.
12 ONG-TONE, L. & PEARCE, W. G. - Inferior rectus muscle restriction after retrobulbar anesthesia for cataract extraction. Can J Ophthalmol, 24:162-5, 1989.