Exotropia secondary to vitreous hemorrhage

被引:6
作者
Fujikado, T [1 ]
Ohmi, G [1 ]
Ikeda, T [1 ]
Lewis, JM [1 ]
Tano, Y [1 ]
机构
[1] OSAKA UNIV,SCH MED,DEPT OPHTHALMOL,SUITA,OSAKA 565,JAPAN
关键词
D O I
10.1007/BF00941721
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Background: Diplopia after cataract surgery has been reported by several authors, but diplopia after recovery from vitreous hemorrhage (VH) has not been described. Methods: We examined eight patients with manifest exotropia and binocular diplopia after recovery from dense VH by vitreous surgery. VH was bilateral in three patients and unilateral in five, and lasted for an average of 7.7 years. Results: Vi sual acuity before vitrectomy ranged from 20/200 to light perception; that after vitrectomy ranged from 20/20 to 20/60. Exotropia was present in all patients after vitrectomy. Additionally, seven out of eight patients had vertical strabismus with an average deviation of 6 prism diopters (Delta). Fusion was confirmed in four patients with an average amplitude of 13 Delta. Four patients underwent horizontal strabismus surgery. Fusion was present in two before strabismus surgery and in all four after surgery; however, unstable diplopia persisted in three of the four after surgery. Conclusion: Diplopia after vitrectomy for longstanding VH may occur due to fusion impairment comparable to that occasionally seen after surgery for traumatic cataract.
引用
收藏
页码:143 / 148
页数:6
相关论文
共 9 条
  • [1] BRENT P, 1986, AM ORTHOPT J, V36, P135
  • [2] PERSISTENT STRABISMUS PRESENTING AFTER CATARACT-SURGERY
    CATALANO, RA
    NELSON, LB
    CALHOUN, JH
    SCHATZ, NJ
    HARLEY, RD
    [J]. OPHTHALMOLOGY, 1987, 94 (05) : 491 - 494
  • [3] INTRACTABLE DIPLOPIA - A CLINICAL PERSPECTIVE
    GRUZENSKY, WD
    PALMER, EA
    [J]. GRAEFES ARCHIVE FOR CLINICAL AND EXPERIMENTAL OPHTHALMOLOGY, 1988, 226 (02) : 187 - 192
  • [4] HAKIN KN, 1986, EYE, V5, P447
  • [5] PERSISTENT BINOCULAR DIPLOPIA AFTER CATARACT-SURGERY
    HAMED, LM
    HELVESTON, EM
    ELLIS, FD
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 1987, 103 (06) : 741 - 744
  • [6] HAMED LM, 1991, OPHTHALMOLOGY, V98, P247
  • [7] Metz H S, 1987, J Pediatr Ophthalmol Strabismus, V24, P287
  • [8] PRATTJOHNSON JA, 1979, OPHTHALMOLOGY, V86, P2140
  • [9] INTRACTABLE DIPLOPIA AFTER VISION RESTORATION IN UNILATERAL CATARACT
    PRATTJOHNSON, JA
    TILLSON, G
    [J]. AMERICAN JOURNAL OF OPHTHALMOLOGY, 1989, 107 (01) : 23 - 26