Diplopia following sub-tenon’s anaesthesia : an unusual complication

• Main Authors: Blum, Robert Alexander, Lim, Lik Thai, Weir, Clifford R.
• Format: E-Article
• Language: English
• Published: Dordrecht : Kluwer 2012
• Subjects: R Medicine (General); RE Ophthalmology
• Online Access: http://ir.unimas.my/id/eprint/22028/1/Diplopia%20following%20sub-tenon%E2%80%99s%20anaesthesia%20%3B%20an%20unusual%20complication%20%28abstract%29.pdf; http://ir.unimas.my/id/eprint/22028/; http://link.springer.com/journal/10792

Diplopia is a rare but well recognised complication following retrobulbar and peribulbar local anaesthesia but it has not been widely reported following sub-tenon's local anaesthesia (STLA). We report on a 76-year-old woman who developed vertical diplopia after left phacoemulsification. She had received a STLA. She had left hypotropia measuring 30 prism diopters for near and distance. She was managed with occlusion but there was no improvement in her findings over 6 months. Ocular motility opinion was then sought and a presumptive diagnosis of inferior rectus fibrosis was made. She subsequently underwent a left inferior rectus recession using adjustable sutures. Postoperatively she had a residual left hypotropia measuring 8 prism dioptres and single vision. Possible causes of inferior rectus fibrosis include muscle damage during traumatic sub-tenon's block or myotoxicity due to local anaesthetic agents. This case highlights the importance of close supervision of inexperienced staff administering regional anaesthetics.