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Ophthalmic Plast Reconstr Surg ; 29(6): 497-9, 2013.
Article in English | MEDLINE | ID: mdl-24217481

ABSTRACT

PURPOSE: To determine the effect of sub-Tenon injection on the length of optic nerve resected during enucleation. METHODS: Case-control laboratory study on 22 orbits of 11 unpreserved, fresh-frozen human cadavers. Each cadaver underwent a conventional enucleation technique on one side and an otherwise identical technique on the contralateral side that included sub-Tenon injection of 2.5 ml normal saline in each oblique quadrant. Resected optic nerve lengths were measured and compared using Student t tests. RESULTS: The mean optic nerve length was 15.2 mm (range, 5.0-21.0 mm) in the sub-Tenon injection group and 11.3 mm (range, 5.0-19.0 mm) in control group (p = 0.015). CONCLUSIONS: Sub-Tenon injection during enucleation allows for significantly longer optic nerve resection lengths in unpreserved, fresh-frozen human cadavers.


Subject(s)
Anesthetics, Local/administration & dosage , Eye Enucleation/methods , Optic Nerve/surgery , Adult , Aged , Aged, 80 and over , Cadaver , Case-Control Studies , Eye Enucleation/instrumentation , Female , Humans , Injections/methods , Intraoperative Care/methods , Male , Middle Aged , Neoplasm Seeding , Optic Nerve/drug effects , Random Allocation
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