Ophthalmology clinics of North America
-
Orbital regional anesthesia is a useful and safe modality for providing excellent operating conditions for the surgeon and painless, pleasant circumstances for the patient. It is especially suited for patients who are extremely sensitive and who could not tolerate topical anesthesia or a sub-Tenon's block without deep sedation. ⋯ Thorough knowledge of orbital anatomy and understanding of the globe-orbit relationship of every patient are necessary to perform this form of regional anesthesia. In addition, knowledge of the effects and side effects of the anesthetics and adjuvants is also required.
-
This article discusses the two types of anesthesia used during ocular surgery and their associated complications.
-
This article will help clinicians to be aware of their choices of local anesthetic solutions before they make their ocular anesthetic plan based on the specific requirements of the patient, the surgical procedure, and the properties of the local anesthetic. Choices of local anesthetic solutions and additives for both topical anesthesia and conduction blockade are discussed.
-
Ophthalmol Clin North Am · Jun 2006
ReviewPreoperative medical testing and preparation for ophthalmic surgery.
The prevention of complications during and after procedures is the most important goal of preoperative evaluation. Several studies have proven the utility of a patient history and physical examination when making a diagnosis. This article discusses preoperative testing and risk assessment as well as management for various conditions that pose challenges to anesthesia and or surgery.
-
Ophthalmol Clin North Am · Jun 2006
Historical ArticleSeeing an anesthetic revolution: ocular anesthesia in history.
Each surgical procedure places unique demands on the anesthesiologist to create surgical anesthesia with minimal physiologic trespass on the patient as well as the surgical repair. In surgery of the eye, the quest for an anesthetic that does not harm the eye or the patient can be a challenge. The removal of cataracts is one of the most frequently performed operations in the United States, and the majority of patients requiring the procedure are elderly and often have other significant medical conditions.