Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery

Patel SN; Langer PD; Bhagat N

doi:doi:10.11648/j.js.20130102.11

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Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery

Patel SN, Langer PD, Bhagat N

Published in Journal of Surgery (Volume 1, Issue 2)

Received: 14 April 2013 Accepted: Published: 30 May 2013

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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.

Published in	Journal of Surgery (Volume 1, Issue 2)
DOI	10.11648/j.js.20130102.11
Page(s)	12-13
Creative Commons	This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.
Copyright	Copyright © The Author(s), 2024. Published by Science Publishing Group

Keywords

Retrobulbar Anesthesia, Sub-Tenon, Vitrectomy

References

[1]	Rubin AP. Complications of local anaesthesia for ophthalmic surgery. British journal of anaesthesia. Jul 1995;75(1):93-96.
[2]	Hamilton RC. A discourse on the complications of retrobulbar and peribulbar blockade. Canadian journal of ophthalmology. Journal canadien d'ophtalmologie. Dec 2000;35(7):363-372.
[3]	Hansen EA, Mein CE, Mazzoli R. Ocular anesthesia for cataract surgery: a direct sub-Tenon's approach. Ophthalmic surgery. Oct 1990;21(10):696-699.
[4]	Oetting, T. Basic Principles of Ophthalmic Surgery. Second edition. American Academy of Ophthalmology; 2011.
[5]	Kakizaki H, Takahashi Y, Nakano T, et al. Anatomy of Tenons capsule. Clinical & experimental ophthalmology. Aug 2012;40(6):611-616.
[6]	Dombrow M, Elkomos G, Bhagat N. Sub-Tenon Anesthesia: An Efficacious and Safe Route for Pars Plana Vitrectomies. [abstract] Investigative Ophthalmology & Visual Science 2008; 49:E-Abstract 5985.
[7]	Winder S, Walker SB, Atta HR. Ultrasonic localization of anesthetic fluid in sub-Tenon's, peribulbar, and retrobulbar techniques. Journal of cataract and refractive surgery. Jan 1999;25(1):56-59.

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APA Style

Patel SN, Langer PD, Bhagat N. (2013). Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. Journal of Surgery, 1(2), 12-13. https://doi.org/10.11648/j.js.20130102.11

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ACS Style

Patel SN; Langer PD; Bhagat N. Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. J. Surg. 2013, 1(2), 12-13. doi: 10.11648/j.js.20130102.11

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AMA Style

Patel SN, Langer PD, Bhagat N. Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. J Surg. 2013;1(2):12-13. doi: 10.11648/j.js.20130102.11

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@article{10.11648/j.js.20130102.11,
  author = {Patel SN and Langer PD and Bhagat N},
  title = {Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery},
  journal = {Journal of Surgery},
  volume = {1},
  number = {2},
  pages = {12-13},
  doi = {10.11648/j.js.20130102.11},
  url = {https://doi.org/10.11648/j.js.20130102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.11},
  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.},
 year = {2013}
}

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TY  - JOUR
T1  - Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery
AU  - Patel SN
AU  - Langer PD
AU  - Bhagat N
Y1  - 2013/05/30
PY  - 2013
N1  - https://doi.org/10.11648/j.js.20130102.11
DO  - 10.11648/j.js.20130102.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 12
EP  - 13
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20130102.11
AB  - 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.
VL  - 1
IS  - 2
ER  -

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Author Information

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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APA Style

Patel SN, Langer PD, Bhagat N. (2013). Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. Journal of Surgery, 1(2), 12-13. https://doi.org/10.11648/j.js.20130102.11

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ACS Style

Patel SN; Langer PD; Bhagat N. Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. J. Surg. 2013, 1(2), 12-13. doi: 10.11648/j.js.20130102.11

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AMA Style

Patel SN, Langer PD, Bhagat N. Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. J Surg. 2013;1(2):12-13. doi: 10.11648/j.js.20130102.11

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@article{10.11648/j.js.20130102.11,
  author = {Patel SN and Langer PD and Bhagat N},
  title = {Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery},
  journal = {Journal of Surgery},
  volume = {1},
  number = {2},
  pages = {12-13},
  doi = {10.11648/j.js.20130102.11},
  url = {https://doi.org/10.11648/j.js.20130102.11},
  eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.11},
  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.},
 year = {2013}
}

Copy | Download

TY  - JOUR
T1  - Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery
AU  - Patel SN
AU  - Langer PD
AU  - Bhagat N
Y1  - 2013/05/30
PY  - 2013
N1  - https://doi.org/10.11648/j.js.20130102.11
DO  - 10.11648/j.js.20130102.11
T2  - Journal of Surgery
JF  - Journal of Surgery
JO  - Journal of Surgery
SP  - 12
EP  - 13
PB  - Science Publishing Group
SN  - 2330-0930
UR  - https://doi.org/10.11648/j.js.20130102.11
AB  - 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.
VL  - 1
IS  - 2
ER  -

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