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September 1995

Ophthalmic Anesthesia

Author Affiliations

Madison, Wis

Arch Ophthalmol. 1995;113(9):1099-1100. doi:10.1001/archopht.1995.01100090021013

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For many years, regional anesthesia has been the technique of choice for cataract and other eye surgery. With the increasing shift to outpatient surgery in the elderly patient population, this technique has many advantages. However, despite being preferable to general anesthesia in most situations, it is not without risk. These risks include intraoptic nerve injection, laceration of the ophthalmic artery with retrobulbar hemorrhage, perforation of the globe, mycotoxicity, blindness, and even cardiorespiratory arrest. Fortunately, these events are uncommon to rare. Eye blocks are a crucial skill for the practicing ophthalmologist, and many ophthalmologists also use anesthesiologists or other clinicians to perform eye blocks to enhance the efficient use of operating rooms. Over the years, the variations in technique have increased the options and, unfortunately, the confusion about terminology. There is a great need for good texts and references to instruct those who would do such blocks. This book succeeds in

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