Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery
Journal of Surgery
Volume 1, Issue 2, June 2013, Pages: 12-13
Received: Apr. 14, 2013; Published: May 30, 2013
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Authors
Patel SN, Institute of Ophthalmology and Visual Science, UMDNJ - New Jersey Medical School, Newark, NJ 07103
Langer PD, Institute of Ophthalmology and Visual Science, UMDNJ - New Jersey Medical School, Newark, NJ 07104
Bhagat N, Institute of Ophthalmology and Visual Science, UMDNJ - New Jersey Medical School, Newark, NJ 07105
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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.
Keywords
Retrobulbar Anesthesia, Sub-Tenon, Vitrectomy
To cite this article
Patel SN, Langer PD, Bhagat N, Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery, Journal of Surgery. Vol. 1, No. 2, 2013, pp. 12-13. doi: 10.11648/j.js.20130102.11
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