Augmentation of Local Anesthesia During Retinal Detachment Surgery

Calvin E. Mein, Harry W. Flynn

Research output: Contribution to journalArticlepeer-review

30 Scopus citations


Because the effect of local anesthesia from a retrobulbar injection diminishes with time, lcoal 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.

Original languageEnglish (US)
Number of pages1
JournalArchives of ophthalmology
Issue number7
StatePublished - Jul 1989

ASJC Scopus subject areas

  • Ophthalmology

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