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British Journal of Anaesthesia, 2003, Vol. 91, No. 1 152-153
© 2003 The Board of Management and Trustees of the British Journal of Anaesthesia

Correspondence

Anaesthesia-related diplopia after cataract surgery

L. P. Lanigan1, C. J. Hammond1, C. Mather2, M. McSwiney2, J. I. Gómez-Arnau3, J. Yangüela3, A. González3, S. Garcia del Valle3 and J. Fernández-Guisasola3

1 Orpington, UK 2 Cheltenham, UK 3 Alcorcon, Spain

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Editor—We were interested in Gomez-Arnau and colleagues’1 paper, which reported incidences of anaesthesia-related diplopia of 0.39 and 1% following 2024 retrobulbar and 98 peribulbar blocks. Nineteen anaesthetists had performed these blocks during a 3 yr period. Our own retrospective audit of 940 consecutive peribulbar blocks for cataract surgery, performed personally or directly supervised by four anaesthetists between June 1999 and June 2000, found six cases of persistent postoperative vertical diplopia—an incidence of 0.64%.2

All our patients with diplopia showed an immediate postoperative hypertropia in the injected eye, and evidence of muscle weakness, which changed over the subsequent 4–6 weeks to hypotropia with restricted elevation of the affected eye. This suggests that the inferior rectus was the affected muscle. All the . . . [Full Text of this Article]


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W. Rahman and R. M. Gregson
Diplopia after cataract surgery
Br. J. Anaesth., January 1, 2004; 92(1): 153 - 154.
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