THE VALUE of individualized preanesthetic medication to produce effective sedation and analgesia for eye surgery is well recognized. This is particularly true of intraocular surgery done with local anesthesia. It is difficult to exaggerate the importance of good anesthesia and akinesia, and to obtain them careful attention to the details of the preanesthetic preparation of the patient is essential. Although the need for this is well known, many surgeons fail to give it the attention it deserves. Thus many operations are made more hazardous and eyes are needlessly damaged.
With the improved anesthesia and operative technique now generally practiced. it becomes increasingly difficult to decrease appreciably the number of mishaps in operations, such as those for cataract extraction. However, any measure that will improve our percentage of good results by even a fraction of 1% seems worthy of consideration.
Hartmann1 has recently emphasized the importance of careful psychologic preparation
ATKINSON WS. PREANESTHETIC SEDATION AND ANALGESIA FOR INTRAOCULAR OPERATIONS DONE WITH LOCAL ANESTHESIA. AMA Arch Ophthalmol. 1953;49(5):481-490. doi:10.1001/archopht.1953.00920020493001