Jove
Visualize
Contact Us

Related Experiment Videos

Strabismus surgery under augmented topical anesthesia.

Ossama M Hakim1, Yasser Gaber El-Hag, Mostafa A Haikal

  • 1Department of Pediatric Ophthalmology, Magraby Eye Center, Madina, Munwara, Saudi Arabia. oshakim@hotmail.com

Journal of AAPOS : the Official Publication of the American Association for Pediatric Ophthalmology and Strabismus
|June 16, 2005
PubMed
Summary
This summary is machine-generated.

Related Concept Videos

You might also read

Related Articles

Articles linked to this work by shared authors, journal, and citation graph.

Sort by
Same author

Nasal endoscopic visualization and management of the leading causes of probing failure.

Journal of pediatric ophthalmology and strabismus·2010
Same author

Silicone-eyelid closure to improve vision in deeply amblyopic eyes.

Journal of pediatric ophthalmology and strabismus·2010
Same author

Persistence of eye movement following disinsertion of extraocular muscle.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2007
Same author

Association between fixation preference testing and strabismic pseudoamblyopia.

Journal of pediatric ophthalmology and strabismus·2007
Same author

Silicone intubation with trans-sac fixation to prevent tube dislocation.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2006
Same author

Releasable adjustable suture technique for children.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2005
Same journal

Lipemia retinalis in a neonate with Kaufman oculocerebrofacial syndrome: a case of co-occurrence.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2026
Same journal

Extensive conjunctival papillomatosis in focal dermal hypoplasia.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2026
Same journal

Dacryoendoscopic findings and treatment of congenital lacrimal duct obstruction in Wolf-Hirschhorn syndrome: a case series.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2026
Same journal

A presumed case of tinea blepharociliaris in a 10-year-old boy.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2026
Same journal

Ferret attack requiring eyelid, lacrimal system, and facial reconstruction to restore anatomy and function.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2026
Same journal

Postoperative syphilitic scleritis following strabismus surgery.

Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus·2026
See all related articles
JoVE
x logofacebook logolinkedin logoyoutube logo
ABOUT JoVE
OverviewLeadershipBlogJoVE Help Center
AUTHORS
Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
LIBRARIANS
TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
RESEARCH
JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
EDUCATION
JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
Terms & Conditions of Use
Privacy Policy
Policies

Topical lidocaine jelly 2% with intravenous nalbuphine offers effective anesthesia for adjustable strabismus surgery. This combination ensures patient comfort and allows surgeons to achieve stable ocular alignment.

Area of Science:

  • Ophthalmology
  • Anesthesiology

Background:

  • Topical lidocaine 2% jelly has been utilized in ophthalmic surgeries like phacoemulsification and trabeculectomy.
  • Adjustable suture techniques in strabismus surgery allow for intraoperative fine-tuning of ocular alignment.

Purpose of the Study:

  • To evaluate the efficacy and stability of a one-stage adjustable suture technique.
  • To assess the combined use of topical lidocaine jelly 2% and intravenous nalbuphine for anesthesia in adjustable strabismus surgery.

Main Methods:

  • Forty adult patients (aged 16-46 years) received topical lidocaine jelly 2% and intravenous nalbuphine (10 mg) 10 minutes preoperatively.
  • Adjustments were made intraoperatively before conjunctival closure.
  • Stability was assessed by comparing post-adjustment deviation at 1 day, 1 week, and 3 weeks. Success was defined as alignment within 10 prism diopters. Analgesia and oculocardiac reflex were monitored.

Related Experiment Videos

Main Results:

  • 95% of patients achieved successful alignment within 10 prism diopters on postoperative day 1, with sustained alignment at 3 weeks in 90%.
  • 35 patients reported no pain, 3 experienced discomfort, and 2 required additional nalbuphine.
  • No positive oculocardiac reflex was observed during intraoperative monitoring.

Conclusions:

  • The combination of topical lidocaine jelly 2% and intravenous nalbuphine is an effective anesthesia strategy for adjustable strabismus surgery.
  • This approach ensures patient comfort and enables surgeons to achieve precise ocular alignment intraoperatively.