[Early and late occurring consecutive exotropia following a medial rectus faden operation].

Unlabelled: The main advantage of the bilateral medial rectus faden operation (posterior fixation suture) for the treatment of essential infantile esotropia is the low occurrence of delayed consecutive exotropia. Nevertheless, this unwanted complication also occasionally occurs after a faden operation.

Patients: All patients operated on between 1988 and 1997 for subsequent exotropia following bimedial faden operations without recessions were included in this study.

[Postoperative nausea and vomiting following stabismus surgery in children. Inhalation anesthesia with sevoflurane-nitrous oxide in comparison with intravenous anesthesia with propofol-remifentanil].

Background: Postoperative nausea and vomiting (PONV) is still one of the major problems in strabismus surgery, especially in children. In recent years many studies have been published, suggesting that choosing propofol as the anaesthetic agent may help to reduce the high incidence of PONV in children undergoing strabismus surgery. Experience with remifentanil in children is still very limited and little is known, whether propofol in combination with this new short acting opioid is also superior regarding PONV in squint surgery compared to sevoflurane/N2O.

Bilateral cataract after phakic posterior chamber top hat-style silicone intraocular lens.

Background: New strategies have been developed for surgical treatment of high myopia. Recently, implantation of minus power posterior chamber intraocular lenses (IOL) into phakic eyes has been introduced.

Methods: We report a 37 year-old female patient who developed bilateral anterior subcapsular cataract 7 years after minus-power, top hat-style silicone posterior chamber IOL implantation in Russia.

[Intraoperative skiascopy for determining the refractive value of an implantable intraocular lens].

Background: Preoperative biometry for calculation of the refractive power of intraocular lenses is not sufficiently reliable in certain cases. Most frequently inaccuracies tend to occur in highly myopic eyes. Preceding refractive procedures can also impair IOL-calculation or even make it impossible.

Long-term results after bimedial posterior fixation sutures for infantile esotropia.

Between 1984 and 1989, 79 patients were reexamined an average of 8 years after bimedial rectus muscle posterior fixation sutures. Patients who had to be operated additionally for vertical or cyclovertical motility disorders were excluded from the study. Seventy-five percent of the patients showed a residual deviation in the alternating prism and cover test of up to 5°.