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January 1988

Ocular Muscle Fibrosis Following Cataract Extraction

Author Affiliations

Madison, Wis

Arch Ophthalmol. 1988;106(1):18-19. doi:10.1001/archopht.1988.01060130020012

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To the Editor.  —Strabismus and diplopia are uncommon complications after cataract surgery. Their occurrence has been attributed to restrictions induced by bridle suture placement or the direct myotoxic effect of local anesthetics.1,2 These complications have also been described in cases of preexisting amblyopia or strabismus.3 The present report describes an unusual case of acquired ocular muscle fibrosis after cataract surgery.

Report of a Case.  —A 73-year-old woman had a six-month history of vertical diplopia that began shortly after her second cataract operation with intraocular lens implantation. At 68 years of age, she began developing early cataracts and had 20/30 visual acuity in each eye. She denied having diplopia, and results of routine motility testing were normal. At 72 years of age, she underwent an uneventful cataract extraction with intraocular lens implantation in her left eye. Six months later, she underwent a similar surgical procedure in her right eye.

Catalano RA, Nelson LB, Calhoun JH, et al:  Persistent strabismus presenting after cataract surgery . Ophthalmology 1987;94:491-494.Article
Rainin EA, Carlson BM:  Postoperative diplopia and ptosis . Arch Ophthalmol 1985;103:1337-1339.Article
Kushner BJ:  Abnormal sensory findings secondary to monocular cataracts in children and strabismic adults . Am J Ophthalmol 1986;102:349-352.
Rogers GL, Simmons RE:  Inferior rectus muscle fibrosis following orbital trauma . J Pediatr Ophthalmol Strabismus 1978;15:318-320.