1995
DOI: 10.1001/archopht.1995.01100070082029
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A Comparison of Peribulbar and Retrobulbar Anesthesia for Vitreoretinal Surgical Procedures

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Cited by 61 publications
(33 citation statements)
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“…8,11,[20][21][22][23][24][25][26][27][28][29][30][31] Peribulbar anaesthesia is as effective as retrobulbar anaesthesia and appears to lead to fewer sight-and life-threatening complications. 9,11,32,33 Subtenon anaesthesia is another alternative with fewer risks, 10 but it is still an invasive treatment in patients. Transcutaneous electrical nerve stimulation has been advocated in the practice of PRP.…”
Section: Discussionmentioning
confidence: 99%
“…8,11,[20][21][22][23][24][25][26][27][28][29][30][31] Peribulbar anaesthesia is as effective as retrobulbar anaesthesia and appears to lead to fewer sight-and life-threatening complications. 9,11,32,33 Subtenon anaesthesia is another alternative with fewer risks, 10 but it is still an invasive treatment in patients. Transcutaneous electrical nerve stimulation has been advocated in the practice of PRP.…”
Section: Discussionmentioning
confidence: 99%
“…[1][2][3] Advantages include avoidance of general anaesthetic risks, good postoperative analgesia, 4 and faster postoperative rehabilitation, in a predominantly daycase service. Peribulbar anaesthesia has been shown to be equally effective as retrobulbar anaesthesia in providing adequate analgesia and akinesia, 5 reducing the risk of optic nerve sheath penetration from a long needle. Anaesthetic agent administered using a blunt cannula via the subtenons' route has also proved effective.…”
Section: Introductionmentioning
confidence: 99%
“…A variety of methods have been described. [8][9][10][11][12][13][14][15][16][17] Advantages of LA over GA include more rapid patient recovery; however also there are some procedures where having an awake patient who is able to cooperate and follow instructions can be helpful. In PRP treatment, the retention of motility such that the patient is able to move the eye around on request leads to an easier view of the peripheral retina with less need for indenting, less conjunctival trauma, and more complete peripheral treatment.…”
Section: Discussionmentioning
confidence: 99%
“…Local anaesthesia has replaced general anaesthesia as it is well tolerated by patients and allows rapid postoperative recovery. [8][9][10][11][12][13][14][15][16] Several local anaesthetic techniques for VR have been used and we have previously reported results using the anterior intraconal technique first described by Wong et al 17 Several authors comment that a potential problem with this technique was that total akinesia was difficult to achieve, which may make perioperative complications more likely. In our hands, however, we found that the intraconal block gave an akinetic block in the majority of cases.…”
Section: Introductionmentioning
confidence: 99%