Our Experience with Sub-Tenon’s Anesthesia in Ophtalmic Surgery
Plesník J., Krist P., Sedláková L., Lidáková L., Žajdlíková B.,Dostál J.
Oční oddělení Nemocnice Kyjov, příspěvková organizace, primář MUDr. Jindřich Plesník |
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Summary:
The goal of the paper is to refer to and to inform about our own experiences
with the Sub-Tenon’s anesthesia in the surgery of the anterior as well as
posterior segment of the eye. In cataract surgery it is equally efficient as the
retrobulbar, peribulbar or topic anesthesia, and it is safer because no sharp
needle is used. We operate on the posterior segment in sub-Tenon’s anesthesia
in patients with contraindicated general anesthesia because of their advanced
age, decompensated diabetes mellitus or hypertension, in whom the pars plana
vitrectomy is the only possibility to improve the patients’ vision. Using the sub-
Tenon’s anesthesia, about 13.000 cataract surgeries and 127 pars plana
vitrectomies without complications were performed. The simple pars plana
vitrectomy may be realized at the outpatient basis as well.
Key words:
sub-Tenon’s anesthesia, blunt cannula, anterior and posterior
segment surgery
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