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June 2001

Temporary Retrobulbar Catheter for Local Anesthesia in Vitreoretinal Surgery

Arch Ophthalmol. 2001;119(6):924-925. doi:

In reply

We appreciate the letter written by Arevalo and Yepez and thank them for their constructive comments on our article.1 They point out that for selected patients, vitreoretinal surgery can be performed with topical anesthesia, avoiding the risks of general, retrobulbar, or peribulbar anesthesia. They report their experience with a series of 134 eyes undergoing vitreoretinal surgery with topical anesthesia using 4% lidocaine hydrochloride drops. We completely agree with Arevalo and Yepez in their concerns about complications associated with retrobulbar or peribulbar anesthesia. We concur that most vitreoretinal surgical procedures may be performed with local anesthesia, and we also agree that "in selected patients for whom surgical time has been calculated at no more than 2 hours," topical anesthesia may be an option.

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