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[Locoregional anesthesia in ophthalmology: update].
J Benatar-Haserfaty1, J A Puig Flores
1Servicio de Anestesiología, Reanimación y Terapia del Dolor, Hospital Universitario Ramón y Cajal, Madrid. jbenatar@hrc.insalud.es
Revista Espanola De Anestesiologia Y Reanimacion
|August 28, 2003
Summary
Regional anesthesia for eye surgery has advanced, simplifying cataract operations with topical anesthesia for outpatient procedures. Anesthesiologists and ophthalmologists must weigh technique benefits and risks for optimal patient care.
Area of Science:
- Ophthalmology
- Anesthesiology
Context:
- Modern ophthalmic surgery, particularly cataract removal via phacoemulsification, increasingly utilizes topical anesthesia and microincisional techniques.
- This shift facilitates outpatient procedures, altering the landscape for anesthetic management.
Purpose:
- To review advancements in regional anesthesia for ophthalmic procedures over the last decade.
- To discuss anatomical considerations, anesthetic techniques, innovations, and potential complications relevant to anesthesiologists and ophthalmologists.
Summary:
- The review covers topical anesthesia, phacoemulsification, and foldable lenses, enabling same-day cataract surgeries.
- It addresses anesthetic blocks performed by anesthesiologists or ophthalmologists, emphasizing the need to understand patient-specific advantages and disadvantages.
- Key topics include anatomical aspects, current techniques, innovations, complications, and controversies like managing patients on anticoagulants and the use of hyaluronidase.
Impact:
- Provides a comprehensive overview for clinicians performing or managing ophthalmic anesthesia.
- Highlights important considerations for patient safety and optimizing anesthetic techniques in modern eye surgery.