Purpose: To describe a surgical technique to access the posterior sub-Tenon’s space through a plica semilunaris incision where retrobulbar anesthesia is given in a safe and consistent manner. Methods: A modified technique for retrobulbar anesthesia with fewer complications. Results: This anesthetic approach has been used consistently and effectively in con-trolling intraoperative pain in 581 eyes undergoing both 20-gauge and small gauge pars plana vitrectomy over the last 5 years at our institution. Conclusion: Retrobulbar anesthesia through a plica semilunaris incision using a blunt cannula may have a better safety profile than the intraconal approach using a sharp needle.
| Published in | Journal of Surgery (Volume 1, Issue 2) |
| DOI | 10.11648/j.js.20130102.11 |
| Page(s) | 12-13 |
| Creative Commons |
This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited. |
| Copyright |
Copyright © The Author(s), 2013. Published by Science Publishing Group |
Retrobulbar Anesthesia, Sub-Tenon, Vitrectomy
| [1] | Rubin AP. Complications of local anaesthesia for ophthalmic surgery. British journal of anaesthesia. Jul 1995;75(1):93-96. |
| [2] | Hamilton RC. A discourse on the complications of retrobulbar and peribulbar blockade. Canadian journal of ophthalmology. Journal canadien d'ophtalmologie. Dec 2000;35(7):363-372. |
| [3] | Hansen EA, Mein CE, Mazzoli R. Ocular anesthesia for cataract surgery: a direct sub-Tenon's approach. Ophthalmic surgery. Oct 1990;21(10):696-699. |
| [4] | Oetting, T. Basic Principles of Ophthalmic Surgery. Second edition. American Academy of Ophthalmology; 2011. |
| [5] | Kakizaki H, Takahashi Y, Nakano T, et al. Anatomy of Tenons capsule. Clinical & experimental ophthalmology. Aug 2012;40(6):611-616. |
| [6] | Dombrow M, Elkomos G, Bhagat N. Sub-Tenon Anesthesia: An Efficacious and Safe Route for Pars Plana Vitrectomies. [abstract] Investigative Ophthalmology & Visual Science 2008; 49:E-Abstract 5985. |
| [7] | Winder S, Walker SB, Atta HR. Ultrasonic localization of anesthetic fluid in sub-Tenon's, peribulbar, and retrobulbar techniques. Journal of cataract and refractive surgery. Jan 1999;25(1):56-59. |
APA Style
Patel SN, Langer PD, Bhagat N. (2013). Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. Journal of Surgery, 1(2), 12-13. https://doi.org/10.11648/j.js.20130102.11
ACS Style
Patel SN; Langer PD; Bhagat N. Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. J. Surg. 2013, 1(2), 12-13. doi: 10.11648/j.js.20130102.11
AMA Style
Patel SN, Langer PD, Bhagat N. Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. J Surg. 2013;1(2):12-13. doi: 10.11648/j.js.20130102.11
Share This Article
Twitter
Linked In
Facebook
Copy
Download@article{10.11648/j.js.20130102.11,
author = {Patel SN and Langer PD and Bhagat N},
title = {Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery},
journal = {Journal of Surgery},
volume = {1},
number = {2},
pages = {12-13},
doi = {10.11648/j.js.20130102.11},
url = {https://doi.org/10.11648/j.js.20130102.11},
eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.11},
abstract = {Purpose: To describe a surgical technique to access the posterior sub-Tenon’s space through a plica semilunaris incision where retrobulbar anesthesia is given in a safe and consistent manner. Methods: A modified technique for retrobulbar anesthesia with fewer complications. Results: This anesthetic approach has been used consistently and effectively in con-trolling intraoperative pain in 581 eyes undergoing both 20-gauge and small gauge pars plana vitrectomy over the last 5 years at our institution. Conclusion: Retrobulbar anesthesia through a plica semilunaris incision using a blunt cannula may have a better safety profile than the intraconal approach using a sharp needle.},
year = {2013}
}
TY - JOUR T1 - Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery AU - Patel SN AU - Langer PD AU - Bhagat N Y1 - 2013/05/30 PY - 2013 N1 - https://doi.org/10.11648/j.js.20130102.11 DO - 10.11648/j.js.20130102.11 T2 - Journal of Surgery JF - Journal of Surgery JO - Journal of Surgery SP - 12 EP - 13 PB - Science Publishing Group SN - 2330-0930 UR - https://doi.org/10.11648/j.js.20130102.11 AB - Purpose: To describe a surgical technique to access the posterior sub-Tenon’s space through a plica semilunaris incision where retrobulbar anesthesia is given in a safe and consistent manner. Methods: A modified technique for retrobulbar anesthesia with fewer complications. Results: This anesthetic approach has been used consistently and effectively in con-trolling intraoperative pain in 581 eyes undergoing both 20-gauge and small gauge pars plana vitrectomy over the last 5 years at our institution. Conclusion: Retrobulbar anesthesia through a plica semilunaris incision using a blunt cannula may have a better safety profile than the intraconal approach using a sharp needle. VL - 1 IS - 2 ER -
Email: