In 1993 Medicare paid more money to anesthesia providers for cataract surgery than for any other surgical procedure. Patients undergoing cataract surgery often receive monitored anesthesia care (MAC). Thus, cuts in anesthesia payments from Medicare for cataract surgery may be forthcoming. If few interventions were being done after a retrobulbar block was placed, then a registered nurse might be...

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.

877 October 2014 A PATIENT presented for enucleation of a blind, painful eye. After sedation, an appropriate orbital-rated 12–6 MHz L-25 ultrasound transducer (Sonosite, Bothell, WA) was positioned obliquely on the upper eyelid. The orbit and adnexa were identified, and a retrobulbar block was performed via an infero-temporal approach.1 The needle’s final position was confirmed on ultrasound. T...

The facial nerve (7th). The temporal branch There are many anesthetic techniques which c f1i, * , / ' . There are many anesthetictechniques which of the 7th cranial nerve passes anterior to the may be employed for cataract surgery. The t t s r r . he temporal mandibular joint and branches out to author provides a step-by-step description of supply the motor aspect of the orbicularis muscle. a r...

Regional anaesthesia in eye surgery can lead to life-threatening complications such retrobulbar haemorrhage, local anaesthetic systemic toxicity (LAST), due to intra-arterial injection, and brain stem anaesthesia (BSA). Intravenous lipid emulsion (ILE) has been shown to reverse cardiac arrest induced by LAST but there are also reports that suggest its role in reversing neurological complication...

BACKGROUND We studied the incidence and clinical characteristics of persistent diplopia related to anaesthesia for cataract surgery in a general hospital. METHODS This was a retrospective review of anaesthesia for 3587 cataract surgeries. Of all the cases of diplopia referred to the ocular motility clinic after cataract surgery, those involving anaesthesia-related diplopia lasting longer than...