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Strabismus presenting after cataract surgery
- Source :
- Ophthalmology. 98(2)
- Publication Year :
- 1991
-
Abstract
- Strabismus presenting after cataract surgery is etiologically related to a heterogenous group of disorders. Clinical data from 63 patients so affected revealed four broad etiologic categories: 1) pre-existing disorders that preceded the cataract surgery, but were rendered asymptomatic by the occluding cataract (e.g., thyroid eye disease, cranial nerve palsy, myasthenia); 2) disorders precipitated by prolonged occlusion by a cataract (e.g., sensory deviations, decompensation of heterophorias, and central disruption of binocular vision); 3) disorders resulting from surgical trauma to extraocular muscles and orbital soft tissues. Traumatic injury to the inferior rectus muscle secondary to retrobulbar anesthesia injection, a specific subset, is postulated to result from a Volkmann's type ischemic contracture, a well-known osseofascial compartment syndrome occurring in peripheral skeletal muscles. 4) Disorders related to resulting aphakia/pseudophakia and associated optical aberrations (e.g.; anisophoria, ocular dominance reversal, and color/brightness disparity). The diagnostic and therapeutic implications of these findings are discussed.
- Subjects :
- Adult
Male
medicine.medical_specialty
genetic structures
Eye disease
medicine.medical_treatment
Cataract Extraction
Extraocular muscles
Aphakia
Ocular dominance
Inferior rectus muscle
Ophthalmology
medicine
Diplopia
Humans
Strabismus
Aged
Aged, 80 and over
business.industry
Cataract surgery
Ischemic Contracture
Middle Aged
medicine.disease
eye diseases
Surgery
medicine.anatomical_structure
Female
sense organs
business
Subjects
Details
- ISSN :
- 01616420
- Volume :
- 98
- Issue :
- 2
- Database :
- OpenAIRE
- Journal :
- Ophthalmology
- Accession number :
- edsair.doi.dedup.....2e297db2190e15c3ad6d61c08d99bc38