Complications of local anaesthesia for ophthalmic surgery

Anaesthesia for ophthalmic surgery.

Anaesthesia and ophthalmic surgery.

Dear Editor, The first issue of the Nepalese Journal of Ophthalmology was forwarded to me by one of my anaesthetist colleagues here in the UK. I thoroughly enjoyed reading 2 articles related to my specialty of anaesthesia. Both articles (Bhattarai 2009 and Tuladhar et al 2009) are of very high standard. They and you and the entire team should be congratulated for such a high quality journal. I ...

General anaesthesia in ophthalmic surgery.

MANY ophthalmic operations can be performed under local analgesia and this technique is used with satisfaction in all parts of the world today; in fact many surgeons and consultant anaesthetists are satisfied that the best results are obtained by this method. On the other hand, general anaesthesia is used much more than formerly and in some centres it is used routinely for most operations, incl...

Teaching corner: Regional anaesthesia for ophthalmic surgery.

Performing safe and effective regional anaesthesia for ophthalmic surgery is an important skill for anaesthetic and ophthalmologic practitioners. Akinetic sharp-needle blocks are generally safe but rare, sight and life threatening complications occur. Sub-Tenon's block using a blunt canula provides akinesa and is a safer alternative but serious complications have been reported. This review prov...

Complications of regional anesthesia for ophthalmic surgery.

Ocular regional anesthesia can be accomplished with either a peribulbar or retrobulbar approach. Each has advantages and disadvantages. Complications can be vision-threatening or life-threatening. Positioning the eye in neutral gaze when retrobulbar block is executed and using a needle no longer than 31 mm are effective strategies to reduce the incidence of serious complications.