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Regional anaesthesia for intraocular surgery

¹Department of Anaesthesia, Faculty of Medicine, University of British Columbia, Vancouver, Canada.

Canadian Journal of Anaesthesia = Journal Canadien D'Anesthesie

|July 1, 1993

Summary

This review covers eye block anesthesia techniques for intraocular surgery. It details orbital anatomy, anesthesia methods, and potential complications for anesthesiologists.

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Area of Science:

Ophthalmology
Anesthesiology

Background:

The involvement of anesthesiologists in local anesthesia for intraocular surgery has expanded.
Anesthesiologists are increasingly involved in monitored care and performing eye block anesthesia.

Purpose of the Study:

To review current information on eye block anesthesia.
To discuss the role of anesthesiologists in providing eye block anesthesia for intraocular procedures.

Main Methods:

Review of orbital anatomy relevant to eye blocks.
Description of retrobulbar and peribulbar anesthesia techniques.
Discussion of anesthetic mixtures, needles, and eye softening methods.

Main Results:

Detailed anatomical considerations for safe eye blocks.
Presentation of various retrobulbar and peribulbar techniques.
Exploration of potential complications including hemorrhage, globe injury, and visual impairment.

Conclusions:

Anesthesiologists play a crucial role in modern eye block anesthesia.
Understanding orbital anatomy and techniques is vital for patient safety.
Careful consideration of complications and patient factors, such as anticoagulant therapy, is necessary.

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