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Peribulbar anesthesia for strabismus surgery.
R J Sanders1, L B Nelson, J A Deutsch
1Department of Pediatric Ophthalmology, Wills Eye Hospital, Philadelphia, Pennsylvania 19107.
American Journal of Ophthalmology
|June 15, 1990
Summary
Peribulbar anesthesia is a safe and effective option for strabismus surgery, requiring minimal additional anesthetic and causing no associated morbidity in patients. This method offers a low-risk alternative to general anesthesia for ocular procedures.
Area of Science:
- Ophthalmology
- Anesthesiology
Background:
- General anesthesia in ocular surgery poses risks, especially for high-risk patients.
- Local anesthesia, like retrobulbar, is an alternative but carries its own risks.
- Peribulbar anesthesia is explored as a safer alternative.
Purpose of the Study:
- To evaluate the effectiveness and safety of peribulbar anesthesia for strabismus surgery.
- To assess the need for supplemental anesthesia and associated morbidity.
Main Methods:
- Prospective study of 76 patients undergoing strabismus surgery.
- Administration of standard preoperative medication.
- Peribulbar injection using 2% mepivacaine hydrochloride and hyaluronidase.
Main Results:
- Only one patient (1.3%) required an additional anesthetic injection for adequate anesthesia.
- No morbidity was associated with the peribulbar anesthesia technique.
- High success rate in achieving adequate anesthesia for the procedure.
Conclusions:
- Peribulbar anesthesia is a safe and effective anesthetic method for strabismus surgery.
- It presents minimal associated morbidity compared to other anesthesia techniques.
- Recommended as a viable anesthetic option for strabismus procedures.