Strabismus complications from local anesthetics

Research output: Contribution to journalShort surveypeer-review

21 Scopus citations


Strabismus developing after retrobulbar or peribulbar anesthesia for both anterior and posterior segment eye surgery may be due to myotoxicity to an extraocular muscle from the local anesthetic agent. Initial paresis often causes diplopia immediately after surgery, but later progressive segmental fibrosis occurs, and/or hypertrophy of the muscle, producing diplopia in the opposite direction from the direction of the initial diplopia. The inferior rectus muscle is most commonly affected. Usually a large recession on an adjustable suture of the involved muscle(s) yields good alignment. Using topical anesthesia or sub-Tenon's anesthesia can avoid this complication.

Original languageEnglish (US)
Pages (from-to)298-301
Number of pages4
JournalSeminars in Ophthalmology
Issue number5-6
StatePublished - Sep 2008


  • Diplopia
  • Local anesthetic
  • Myotoxicity
  • Strabismus
  • Surgical complication

ASJC Scopus subject areas

  • Ophthalmology


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