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Peribulbar anesthesia: one versus two injections

A Demirok1, S Simşek, A Cinal

  • 1Yüzüncü Yil Universitesi Tip Fakültesi, Göz Hastaliklari A.D., Van, Türkiye.

Ophthalmic Surgery and Lasers
|January 15, 1998
PubMed
Summary
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A single peribulbar injection offers comparable efficacy to the standard two-injection technique for intraocular surgery anesthesia. This approach provides equivalent pain control and globe akinesia, simplifying the procedure.

Area of Science:

  • Ophthalmology
  • Anesthesia

Background:

  • Peribulbar anesthesia is commonly used for intraocular surgery.
  • The standard technique involves two injections for adequate anesthesia and akinesia.

Purpose of the Study:

  • To compare the efficacy of a single peribulbar injection versus the standard two-injection technique.
  • To evaluate pain and globe akinesia following peribulbar anesthesia.

Main Methods:

  • Prospective, randomized study involving 120 patients undergoing elective intraocular surgery.
  • Patients received either one or two injections of a local anesthetic mixture.
  • Preoperative globe akinesia and postoperative pain were assessed.

Main Results:

  • No significant difference in pain experienced during surgery between the single and two-injection groups.

Related Experiment Videos

  • Globe akinesia was comparable between both anesthetic techniques.
  • Conclusions:

    • A single peribulbar injection is as effective as the standard two-injection technique for intraocular surgery.
    • The single injection method provides a simpler alternative with equivalent outcomes.