Intraoperative Adjustment with Topical Anesthetics in Strabismus Surgery

ABSTRACT

For the better correction of strabismus surgery, various adjustable surgical technics are performed with general or retrobulbar anesthesia. Topical anesthetics with IV analgesics (Fentany 1 citrate) and sedative (Valium) can induce adequate pain control without inhibiting extraocular muscle activities and enable intraoperative adjustment easily and conveniently without the troublesome maneuver of postoperative adjustment and accompanying risk of infection Intraoperative adjustable surgery is better than postoperative adjustable surgery because it is easier to perform due to less tissue edema, enables to avoid the risk of retrobulbar or peribulbar anesthesia, and the risk of infection. We operated 20 strabismic patients aging 10 to 48 years using the intraoperative adjustment and topical anesthetics with the good success rate 90%, within +/- 10 delta after 5 weeks follow-up.