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March 1985

Retrobulbar Anesthesia in Strabismus Surgery

Arch Ophthalmol. 1985;103(3):322. doi:10.1001/archopht.1985.01050030016003

To the Editor.  —Szmyd et al1 reported in the September 1984 Archives their success in using retrobulbar anesthesia for primarily monocular strabismus surgery. They had good results with either adjustable or nonadjustable strabismus surgery and noted no side effects in their series of 50 eyes.We have also been impressed with retrobulbar anesthesia without lid block for strabismus surgery. This has been our preferred anesthetic method for adult monocular and binocular strabismus surgery for seven years. During that time, we have noted several complications related to the retrobulbar block.

Report of Cases. 

—Case I.  —A 25-year-old woman with intermittent exotropia underwent bilateral lateral rectus recessions, the left eye on an adjustable suture. A small retrobulbar hemorrhage was evident on the left at the conclusion of the case. The following morning, the adjustable suture was advanced to leave the patient with no distance deviation and esophoria of 10 prism

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