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The last 20 or more years have seen ever closer cooperation and collaboration between the ophthalmic surgeon and the anesthesiologist. In smaller hospitals this may occur on a doctorto-doctor basis; in larger ones the ophthalmologist must learn to work with one or more members of a team of anesthesiologists and nurse anesthetists. In many cases, especially in his own office, the ophthalmologist may use local anesthetic agents in the absence of an anesthetist. Whatever the situation, the ophthalmic surgeon must have a thorough knowledge of the risks attendant on the use of local and general anesthetics and their interaction with other drugs his patient may be taking on a short- or long-term basis.
An operation, in its broadest sense, may be said to begin in the physician's office at the time the patient is scheduled for surgery. If an intimate knowledge of the patient's general physical condition is not obtained
Allen HF. Anesthesia in Ophthalmology. Arch Ophthalmol. 1974;91(5):428. doi:10.1001/archopht.1974.03900060440026