British Journal of Ophthalmology · 2001 · 70 citations · 16 references
MedicineAnesthesiologySurgeryAnesthesiaAnesthetic TechniquesLocal AnesthesiaAnesthesia For Ophthalmic SurgeryLocal Anesthesia For Pain ControlOcular AnestheticsRetinal SurgeryVitreoretinal SurgeryVitreous SurgeryAnesthesia For Intraocular SurgeryAudit Trail MonitoringBucklingPain Relief After Ocular SurgeryRegional Ocular AnesthesiaVitrectomy AnesthesiaVitrectomy ComplicationsVitreous Surgery Complications
BACKGROUND: Vitreoretinal (VR) surgery has been increasingly performed under local anaesthesia (LA) in this unit. The results of an audit monitoring this change are presented. METHODS: Data were collected on 1497 patients including type, volume, and position of the anaesthetic block, type of surgery, complications, and patient reactions. RESULTS: 1221/1479 (82%) patients had LA. They were older than those having general anaesthesia (GA) 63.5 years v 45.9 years; 146 (10.6%) blocks were intracone, 130 (10.6%) peribulbar, and 927 (75.9%) combined. Operations included 436 vitrectomies, 545 retinopexy with or without vitrectomy, and 238 buckling procedures. Some pain was felt by 9.4%, 8.8%, and 19.7% of patients during vitrectomy, retinopexy with or without vitrectomy, and buckling surgery respectively. CONCLUSION: Local anaesthesia for VR surgery is well tolerated by patients, being effective throughout longer and more stimulating ocular surgery.
16
Inadvertent Globe Perforation during Retrobulbar and Peribulbar Anesthesia
Jay S. Duker, Jonathan Belmont, William E. Benson et al. · Ophthalmology · 1991 · 269 citations
Medicine, Anesthesiology, Surgery +11
Bran Stem Anesthesia after Retrobulbar Block
Jonathan C. Javitt, Rafael Addiego, Howard L. Friedberg et al. · Ophthalmology · 1987 · 166 citations