Schipper I, Lüthi M
Augenklinik Kantonsspital Luzern.
Klin Monbl Augenheilkd. 1994 Mar;204(3):176-80. doi: 10.1055/s-2008-1035516.
A case report. A homolateral hypertrophia accompanied by diplopia occurred after retrobulbar anesthesia for cataract operation. In the course of the next few months a hypotrophia developed in the same eye. Two and a half years later a 5 mm recession of the inferior rectus muscle of the hypotrophic eye was performed under local anesthesia. The passive motility upwards improved already during the operation when the muscle was sectioned. After the operation there was a remarkable improvement of motility and field of vision. Conclusion. The cause of this diplopia is probably an injury of the inferior rectus muscle with a secondary contraction caused by the retrobulbar anesthesia. An injection along the inferior rectus muscle to achieve the retrobulbar anesthesia should be avoided.
病例报告。白内障手术球后麻醉后出现同侧眼球肥大并伴有复视。在接下来的几个月里，同一只眼睛出现了眼球萎缩。两年半后，在局部麻醉下对萎缩眼的下直肌进行了5毫米的后徙术。手术切断肌肉时，向上的被动活动度在术中就已改善。术后，眼球活动度和视野有显著改善。结论。这种复视的原因可能是下直肌损伤，继发于球后麻醉引起的收缩。应避免沿下直肌注射以实现球后麻醉。
