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Anesthesia for ophthalmic surgery: an educational review
Aidan Pucchio1, Daiana R Pur2, Anuradha Dhawan3
1School of Medicine, Queen's University, Kingston, ON, Canada.
International Ophthalmology
|November 27, 2022
Summary
Choosing anesthesia for eye surgery is vital. Topical anesthetics are common for pain relief, while regional blocks provide immobility, and general anesthesia is for complex cases.
Area of Science:
- Ophthalmology
- Anesthesiology
Background:
- Anesthetic selection for ophthalmic surgery impacts patient outcomes and surgical procedures.
- Ophthalmology involves diverse surgical types, each with unique anesthetic considerations.
Purpose of the Study:
- To review common anesthesia classes used in ophthalmic surgery.
- To discuss anesthetic considerations for specific eye surgeries like cataract, glaucoma, and orbital procedures.
Main Methods:
- Comprehensive Embase database search.
- Used keywords: anesthesia, eye surgery, ophthalmology, and specific surgical procedures.
Main Results:
- Topical anesthetics are widely used for analgesia with minimal side effects.
- Regional blocks (sub-Tenon's, peribulbar, retrobulbar) are preferred for akinesia.
- General anesthesia is reserved for complex, lengthy, or high-risk patient cases.
Conclusions:
- Ophthalmic anesthesia has advanced, enhancing safety and patient comfort.
- Anesthetic plans require understanding patient needs, surgical team expertise, and surgery-specific factors.
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