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BJA Advance Access originally published online on April 19, 2004
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British Journal of Anaesthesia, 2004, Vol. 92, No. 6 899-901
© 2004 The Board of Management and Trustees of the British Journal of Anaesthesia

Case Reports

Early exploration of diplopia with magnetic resonance imaging after peribulbar anaesthesia

G. Taylor1, J. M. Devys*,1, F. Heran2 and B. Plaud1

1 Department of Anaesthesiology and Intensive Care and 2 Department of Radiology, Fondation Adolphe de Rothschild, 25–29 rue Manin, F-75019 Paris, France

*Corresponding author. E-mail: jmdevys{at}fo-rothschild.fr

We report the cases of five patients who have experienced postoperative diplopia after cataract surgery under peribulbar anaesthesia and in whom orbital Magnetic Resonance Imaging was performed immediately after the diagnosis. In four patients, the imaging study showed a T2 hyper-intensity signal and swelling of one extraocular muscle that was interpreted as oedema. Therefore, these cases were most probably a result of an accidental i.m. injection of local anaesthetics. In the other patient, the imaging study revealed no abnormality.

Br J Anaesth 2004; 92: 899–901


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