You may be interested in this recent article. It is in German. The
abstract seems to provide some guidance. It should be available
through your local medical library.
Weindler J, Weindler M, Ruprecht KW.
[Local anesthesia in ophthalmic surgery]
Ophthalmologe. 2004 Jul 20 [Epub ahead of print] German.
PMID: 15278404
Abstract:
In recent years anesthesia modalities have changed in ophthalmic
surgery. A growing trend toward the use of topical anesthesia in
cataract surgery is apparent. The present-day techniques used in
ophthalmic surgery are retrobulbar anesthesia, peribulbar anesthesia,
subtenon anesthesia, and subconjunctival anesthesia as injection
techniques, topical anesthesia using drops, gel, or sponge, and
intracameral anesthesia. Injectable anesthesia (RBA, PBA, STA)
provides a higher level of analgesia and globe akinesia. With
injection techniques the risks of vis a tergo and anesthetic
complications increase; the level of analgesia after topical
anesthesia could be improved by supplementation with i.v. narcotics.
To locate other related articles you may want to conduct this search
(copy and paste all between the {} brackets) at PubMed,
http://www.ncbi.nlm.nih.gov/entrez/query.fcgi:
{
"Ophthalmologic Surgical Procedures"[MeSH] AND retrobulbar[ab] AND
"Anesthesia"[MeSH] AND ("Cataract"[MeSH] OR "Cataract
Extraction"[MeSH])
}
Also, you may be interested in checking out these medical texts,
listed in no particular order:
- Clinical atlas of procedures in ophthalmic surgery / Albert, Daniel
M.; Lucarelli, Mark J.
- Surgical innovations in ophthalmology / Gragoudas, Evangelos S.; Hatton, Mark.
- Cataract surgery and its complications / Jaffe, Norman S., 1924-;
Jaffe, Mark S.; Jaffe, Gary F.
- Manual of cataract surgery / Bahadur, Gavin G.; Sinskey, Robert M
Good luck!
JB
p.s. I'm a librarian who used to do med-mal research at a law firm. |
