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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
PubMed
Summary
This summary is machine-generated.

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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:

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  • 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.