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Related Experiment Videos

Local anaesthesia for 1221 vitreoretinal procedures.

R S Newsom1, A C Wainwright, C R Canning

  • 1Southampton Eye Unit, Southampton General Hospital, Southampton, UK. rbnewsom@dircon.co.uk

The British Journal of Ophthalmology
|February 13, 2001
PubMed
Summary
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Local anaesthesia (LA) is effective for vitreoretinal (VR) surgery, with 82% of patients receiving it. This approach is well-tolerated, even for longer, more complex ocular procedures.

Area of Science:

  • Ophthalmology
  • Anesthesiology

Background:

  • Vitreoretinal (VR) surgery is increasingly performed under local anaesthesia (LA).
  • An audit was conducted to monitor this shift in anesthetic practice.

Purpose of the Study:

  • To evaluate the safety and efficacy of local anaesthesia for VR surgery.
  • To assess patient tolerance and outcomes during VR procedures under LA.

Main Methods:

  • Data collected on 1497 patients undergoing VR surgery.
  • Included anesthetic block type, volume, position, surgical procedure, complications, and patient reactions.
  • Analysis of patient demographics and reported pain levels.

Main Results:

  • 82% of patients (1221/1479) received local anaesthesia (LA).

Related Experiment Videos

  • Patients receiving LA were older (63.5 years) than those under general anaesthesia (GA) (45.9 years).
  • Pain was reported by 9.4% (vitrectomy), 8.8% (retinopexy), and 19.7% (buckling) of patients.

    • Conclusions:

    • Local anaesthesia is well-tolerated for vitreoretinal surgery.
    • LA proves effective even for extended and stimulating ocular surgeries.
    • This supports the continued use of LA in VR surgical settings.