Evaluation of small-volume (3 ml) ophthalmic anaesthesia for both subtenon anaesthesia using blunt-tipped curved needle and single medial canthal injection with sharp needle for phacoemulsification 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 ...

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...

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...

Anatomy for ophthalmic anaesthesia.

Study of the anatomy of the orbit, its contents and surrounding structures allows the anaesthetist to understand how to insert needles within the orbit. Local anaesthetics may thereby be deposited in sites where they may spread to block sensory and motor nerves to provide anaesthesia and akinesia, without damaging the globe, blood vessels, lacrimal apparatus, muscles or the optic nerve and its ...