Non-retrobulbar anaesthesia for trabeculectomy.
A prospective clinical trial using sub-conjunctival (Sub-Tenon's) anaesthesia for trabeculectomy is reported. Forty-one eyes of 22 consecutive patients with glaucoma had trabeculectomy performed using the sub-conjunctival method of local anaesthesia. The effectiveness of the anaesthetic, intra-operative and post-operative complications were recorded. Sub-conjunctival injection of local anaesthesia was found to be painless and free from the complications associated with retrobulbar injections. Surgery was also found to be easier as a conjunctival bleb was already raised allowing easy access to the sub-conjunctival space. Voluntary eye movements remained but did not interfere with surgery.
Agbeja
A M
AM
Department of Ophthalmology, University College Hospital, Ibadan.
D000293:Adolescent; D000328:Adult; D000368:Aged; D000772:Anesthesia, Local / Q000009:adverse effects / Q000379:methods*; D003228:Conjunctiva; D005260:Female; D005901:Glaucoma / Q000601:surgery*; D006801:Humans; D008297:Male; D008875:Middle Aged; D010146:Pain / Q000209:etiology; D011446:Prospective Studies; D014130:Trabeculectomy