Jove
Visualize
Contact Us
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

Related Experiment Videos

Local anaesthesia for eye surgery without a facial nerve block

A Sanchez-Capuchino1, D Meadows, L Morgan

  • 1Stepping Hill Hospital, Stockport, Cheshire.

Anaesthesia
|May 1, 1993
PubMed
Summary

Retrobulbar block alone effectively prevents blepharospasm during cataract surgery. This study found that a larger volume of local anesthetic via retrobulbar block alone provides adequate surgical conditions, eliminating the need for a supplementary facial nerve block.

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

Health-related quality of life in survivors of advanced melanoma treated with anti-PD1-based immune checkpoint inhibitors.

Cancer medicine·2023
Same author

A human factors analysis of missed mobilisation after discharge from intensive care: a competition for care?

Physiotherapy·2021
Same author

Improving the WHO Surgical Safety Checklist sign-out.

BJS open·2021
Same author

Shortening sow restraint period during lactation improves production and decreases hair cortisol concentrations in sows and their piglets.

Animal : an international journal of animal bioscience·2021
Same author

Patients' experiences of Parkinson's disease: a qualitative study in glucocerebrosidase and idiopathic Parkinson's disease.

Journal of patient-reported outcomes·2020
Same author

Spinal or general anaesthesia for surgical repair of hip fracture and subsequent risk of mortality and morbidity: a database analysis using propensity score-matching.

Anaesthesia·2020

Area of Science:

  • Ophthalmology
  • Surgical Anesthesia

Background:

  • Cataract surgery typically requires retrobulbar block combined with a facial nerve block to prevent blepharospasm.
  • Facial nerve block is a standard adjunct to retrobulbar block for optimal surgical conditions.

Purpose of the Study:

  • To compare the efficacy of retrobulbar block alone versus combined retrobulbar and facial nerve block for cataract surgery.
  • To assess if a larger volume of local anesthetic in retrobulbar block can eliminate the need for facial nerve block.

Main Methods:

  • A comparative study involving 50 patients undergoing cataract surgery.
  • Two anesthesia techniques were evaluated: retrobulbar block alone (larger volume) and combined retrobulbar and facial nerve block.
  • Surgeons assessed eye motility, lid motility, eye softness, and overall surgical conditions.

Related Experiment Videos

Main Results:

  • Blepharospasm did not occur in either group.
  • Operating conditions were equally effective in both the retrobulbar block alone group and the combined technique group (p > 0.05).
  • The retrobulbar block alone technique provided satisfactory surgical conditions.

Conclusions:

  • Retrobulbar block alone, using an increased anesthetic volume, is sufficient for cataract surgery.
  • Supplementary facial nerve block can be omitted without compromising surgical conditions or safety.
  • This simplifies the anesthesia procedure for cataract operations.