title: Local anesthesia for vitreoretinal surgery.
abstract: A new technique for retrobulbar anesthesia for use during vitreoretinal surgery is described. A blunt 19-gauge cannula is used to directly inject the anesthetic agent into the retrobulbar space via a sub-Tenon's approach. The method reported herein virtually eliminates the possibility of complications from the administration of a standard retrobulbar block and allows prolonged vitreoretinal surgery to be performed under local anesthesia. We report the results of our first fifty-eight cases of vitreoretinal surgery performed using this technique.
authors.affiliation: Department of Surgery, Brooke Army Medical Center, Fort Sam Houston, Texas 78234-6200.
authors.forename: C E
authors.initials: CE
authors.lastname: Mein
authors.forename: M G
authors.initials: MG
authors.lastname: Woodcock
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage; D006801:Humans; D008875:Middle Aged; D011379:Prognosis; D012160:Retina / Q000601:surgery*; D012163:Retinal Detachment / Q000601:surgery; D014822:Vitreous Body / Q000601:surgery*; D014823:Vitreous Hemorrhage / Q000601:surgery
chemical_list: D000779:Anesthetics, Local