Peribulbar anesthesia for strabismus surgery.

Abstract:

:We prospectively studied 76 patients to analyze the effectiveness of peribulbar anesthesia during strabismus surgery. The patients, ranging in age from 14 to 77 years, were given anesthesia with standard preoperative medication and a peribulbar injection of a mixture of 2% mepivacaine hydrochloride and hyaluronidase. Only one of the 76 patients required an additional injection of anesthetic to achieve adequate anesthesia. No morbidity was associated with the peribulbar anesthesia. Local anesthesia, particularly retrobulbar anesthesia, has been used as an alternative technique in an attempt to reduce the morbidity and mortality associated with general anesthesia in ocular surgery, particularly in those patients with high-risk characteristics. Even with retrobulbar anesthesia, however, there is a risk of morbidity and, in rare cases, mortality. Our results suggest that the use of peribulbar anesthesia is a safe and effective means of anesthesia in strabismus surgery because of minimal associated morbidity.

journal_name

Am J Ophthalmol

authors

Sanders RJ,Nelson LB,Deutsch JA

doi

10.1016/s0002-9394(14)72440-7

subject

Has Abstract

pub_date

1990-06-15 00:00:00

pages

705-8

issue

6

eissn

0002-9394

issn

1879-1891

pii

S0002-9394(14)72440-7

journal_volume

109

pub_type

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