Augmentation of Local Anesthesia During Retinal Detachment Surgery

Calvin E. Mein, Harry W. Flynn

Research output: Contribution to journalArticlepeer-review

30 Scopus citations

Abstract

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)
Pages (from-to)1084
Number of pages1
JournalArchives of ophthalmology
Volume107
Issue number7
DOIs
StatePublished - Jul 1989

ASJC Scopus subject areas

  • Ophthalmology

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