Bupivacaine and botulinum toxin to treat comitant strabismus
PURPOSE: To evaluate the change in ocular motility and muscle thickness measured with ultrasonography after intramuscular injection of bupivacaine and botulinum toxin A. METHODS: Eight patients (five female) were enrolled to measure ocular motility prior and 1, 7, 30 and 180 days after one injection...
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Conselho Brasileiro de Oftalmologia
2012-04-01
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doaj-1eebc9eb45d44346b3df0ace8a7b55ac2020-11-24T23:45:22ZengConselho Brasileiro de OftalmologiaArquivos Brasileiros de Oftalmologia1678-29252012-04-0175211111510.1590/S0004-27492012000200008S0004-27492012000200008Bupivacaine and botulinum toxin to treat comitant strabismusLuisa Moreira Hopker0Priscila Fernandes Zaupa1Acácio Alves de Souza Lima Filho2Monica Fialho Cronemberger3Marcia Keiko Uyeno Tabuse4Célia Regina Nakanami5Norma Allemann6Tomás Scalamandré Mendonça7Universidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloUniversidade Federal de São PauloPURPOSE: To evaluate the change in ocular motility and muscle thickness measured with ultrasonography after intramuscular injection of bupivacaine and botulinum toxin A. METHODS: Eight patients (five female) were enrolled to measure ocular motility prior and 1, 7, 30 and 180 days after one injection of 2 ml of 1.5% bupivacaine and 2.5 U of botulinum toxin A in agonist and antagonist muscles, respectively, of eight amblyopic eyes. Muscle thickness was measured prior and on days 1, 7 and 30 after injection using 10-MHz ultrasonography (eyelid technique). RESULTS: Mean change in alignment was 10 prism diopters after 180 days (n=6). An average increase of 1.01 mm in muscle thickness was observed after 30 days of bupivacaine injection and 0.28 mm increase was observed after botulinum toxin A injection, as measured by ultrasonography. Lateral rectus muscles injected with bupivacaine had a mean increase of 1.5 mm in muscle thickness. CONCLUSION: In this study, a change in ocular motility was observed after 180 days of intramuscular injection of bupivacaine and botulinum toxin in horizontal extraocular muscles. Overall, there was an increase of muscle thickness in both botulinum toxinum A and bupivacaine injected muscles after 30 days of injection when measured by ultrasonography. This change was more pronounced on lateral rectus muscles after bupivacaine injection.http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492012000200008&lng=en&tlng=enMúsculos oculomotoresEstrabismoEstrabismoEsotropiaToxinas botulínicas tipo AToxinas botulínicas tipo ABupivacaínaBupivacaínaInjeções intramuscularesUltrassonografia |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Luisa Moreira Hopker Priscila Fernandes Zaupa Acácio Alves de Souza Lima Filho Monica Fialho Cronemberger Marcia Keiko Uyeno Tabuse Célia Regina Nakanami Norma Allemann Tomás Scalamandré Mendonça |
spellingShingle |
Luisa Moreira Hopker Priscila Fernandes Zaupa Acácio Alves de Souza Lima Filho Monica Fialho Cronemberger Marcia Keiko Uyeno Tabuse Célia Regina Nakanami Norma Allemann Tomás Scalamandré Mendonça Bupivacaine and botulinum toxin to treat comitant strabismus Arquivos Brasileiros de Oftalmologia Músculos oculomotores Estrabismo Estrabismo Esotropia Toxinas botulínicas tipo A Toxinas botulínicas tipo A Bupivacaína Bupivacaína Injeções intramusculares Ultrassonografia |
author_facet |
Luisa Moreira Hopker Priscila Fernandes Zaupa Acácio Alves de Souza Lima Filho Monica Fialho Cronemberger Marcia Keiko Uyeno Tabuse Célia Regina Nakanami Norma Allemann Tomás Scalamandré Mendonça |
author_sort |
Luisa Moreira Hopker |
title |
Bupivacaine and botulinum toxin to treat comitant strabismus |
title_short |
Bupivacaine and botulinum toxin to treat comitant strabismus |
title_full |
Bupivacaine and botulinum toxin to treat comitant strabismus |
title_fullStr |
Bupivacaine and botulinum toxin to treat comitant strabismus |
title_full_unstemmed |
Bupivacaine and botulinum toxin to treat comitant strabismus |
title_sort |
bupivacaine and botulinum toxin to treat comitant strabismus |
publisher |
Conselho Brasileiro de Oftalmologia |
series |
Arquivos Brasileiros de Oftalmologia |
issn |
1678-2925 |
publishDate |
2012-04-01 |
description |
PURPOSE: To evaluate the change in ocular motility and muscle thickness measured with ultrasonography after intramuscular injection of bupivacaine and botulinum toxin A. METHODS: Eight patients (five female) were enrolled to measure ocular motility prior and 1, 7, 30 and 180 days after one injection of 2 ml of 1.5% bupivacaine and 2.5 U of botulinum toxin A in agonist and antagonist muscles, respectively, of eight amblyopic eyes. Muscle thickness was measured prior and on days 1, 7 and 30 after injection using 10-MHz ultrasonography (eyelid technique). RESULTS: Mean change in alignment was 10 prism diopters after 180 days (n=6). An average increase of 1.01 mm in muscle thickness was observed after 30 days of bupivacaine injection and 0.28 mm increase was observed after botulinum toxin A injection, as measured by ultrasonography. Lateral rectus muscles injected with bupivacaine had a mean increase of 1.5 mm in muscle thickness. CONCLUSION: In this study, a change in ocular motility was observed after 180 days of intramuscular injection of bupivacaine and botulinum toxin in horizontal extraocular muscles. Overall, there was an increase of muscle thickness in both botulinum toxinum A and bupivacaine injected muscles after 30 days of injection when measured by ultrasonography. This change was more pronounced on lateral rectus muscles after bupivacaine injection. |
topic |
Músculos oculomotores Estrabismo Estrabismo Esotropia Toxinas botulínicas tipo A Toxinas botulínicas tipo A Bupivacaína Bupivacaína Injeções intramusculares Ultrassonografia |
url |
http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0004-27492012000200008&lng=en&tlng=en |
work_keys_str_mv |
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