Retrobulbar anaesthesia during Keratoplasty

A: A restrospective study was carried in order to evaluate the efficacy and safety of retrobulbar anaesthesia during keratoplasty. Of 250 consecutive keratoplasty, 30 [12%] were performed under retrobulbar anaesthesia. Patients received a mean volume of 12ml, composed of etidocaine [2/3], bupicaine [1/3] and hyaluronidase. Ocular compression duration was at least 20 minutes. Surgery was found painless by 90% of patients. Akinesia was complete in 80% of cases. Theses results demonstrate that retrobulbar anaesthesia may be recommended to this type of surgery

Anesthesie locale pour la chirurgie de strabisme

Strabismus surgery is performed with general anaesthesia since it's a paediatric surgery in the majority of cases. The aim of our study is to analyse the safety and tolerance of peribulbar anaesthesia for strabismus surgery. Patients and methods: sixty two patients underwent strabismus surgery with a peribulbar anaesthesia. All patients had premedication the evening before and two hours before the surgery. All patients were examined to evaluate the efficacy and the safety of such anaesthesia. The main age was 31,5 years. Forty patients were females and twenty two were males. None had reported pain. Three patients reported just incomfort during surgery. Orthoptic results were acceptable. Peribulbar anaesthesia has shown to be an effective alternative for general anaesthesia for strabismus surgery in an attempt to reduce the morbidity and mortality. It takes importance particularly in patients of high-risk characteristics and in monocular surgery