Regional anesthesia with monitored anesthesia care for surgical repair of selected open globe injuries

Ingrid U. Scott, Steven Gayer, Irene Voo, Harry W. Flynn, Jose R. Diniz, Anna Venkatraman

Research output: Contribution to journalArticle

14 Scopus citations

Abstract

BACKGROUND AMD OBJECTIVE: To investigate clinical features and visual acuity outcomes associated with the use of regional anesthesia with monitored anesthesia care (RA/MAC) versus general anesthesia for open globe injuries in adult reparable eyes. PATIENTS AND METHODS: Retrospective, consecutive case series including all adults with open globe injuries repaired at Bascom Palmer Eye Institute between 2000 and 2003. RESULTS: The study included 238 eyes of 238 patients with a median age of 41 years. RA/MAC was employed in 141 (59%) eyes and general anesthesia in 97 (41%) eyes. Patients who had RA/MAC were significantly (P < .001) more likely to have anterior wound location (64% corneal/limbal vs 50%), shorter wound length (6.5 vs 12 mm), and formed anterior chamber (82% vs 56%), and were significantly less likely to have an afferent pupillary defect (12% vs 43%). The improvement from presenting visual acuity to each postoperative follow-up interval was similar for the two groups. CONCLUSIONS: RA/MAC is a reasonable alternative to general anesthesia for selected patients with open globe injuries.

Original languageEnglish (US)
Pages (from-to)122-128
Number of pages7
JournalOphthalmic Surgery Lasers and Imaging
Volume36
Issue number2
DOIs
StatePublished - Jan 1 2005

ASJC Scopus subject areas

  • Surgery
  • Ophthalmology

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