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Article
July 1989

Augmentation of Local Anesthesia During Retinal Detachment Surgery

Author Affiliations

USA
From the Department of Surgery, Ophthalmology Service, Brooke Army Medical Center, Fort Sam Houston, Tex (Dr Mein), and the Bascom Palmer Eye Institute, Miami, Fla (Dr Flynn).

Arch Ophthalmol. 1989;107(7):1084. doi:10.1001/archopht.1989.01070020146049
Abstract

• Because the effect of local anesthesia from a retrobulbar injection diminishes with time, local anesthesia during prolonged retinal surgery may be difficult. A simple, safe, and effective technique for administration of supplemental intraoperative local anesthesia during retinal detachment surgery is described. After a limbal peritomy is performed and the quadrants are dissected bluntly, a 19-gauge irrigating cannula is passed posterior to the globe to irrigate the recti muscles and the retrobulbar space with 4% lidocaine hydrochloride. Using this technique, even prolonged vitreoretinal surgery can be performed using local anesthesia with minimal patient discomfort.

References
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Javitt JC, Addiego R, Friedberg HL, Libonati MM, Leahy JJ.  Brain stem anesthesia after retrobulbar block . Ophthalmology . 1987;94:718-724.Article
2.
Ramsay RC, Knobloch WH.  Ocular perforation following retrobulbar anesthesia for retinal detachment surgery . Am J Ophthalmol . 1978;86: 61-64.
3.
Pautler SE, Grizzard WS, Thompson LN, Wing GL.  Blindness from retrobulbar injection into the optic nerve . Ophthalmic Surg . 1986;17: 334-337.
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