Anaesthesia in Oculoplasty

  • Oya Yalcin CokEmail author
  • Ezzat Sami Aziz


Local, regional and general anaesthesia techniques must be tailored for every oculoplastic procedure. This chapter will cover the main anaesthesia techniques used during oculoplastic surgeries, related anaesthetic drugs and some practical applications for the anaesthetic management.


Anaesthesia for oculoplastic surgery Local infiltration Retrobulbar Peribulbar Sub-Tenon blocks Supraorbital Supratrochlear Infratrochlear Zygomaticotemporal Zygomaticofacial Infraorbital Maxillary nerve blocks 

Suggested Readings

  1. 1.
    Moody BR, Holds JB. Anesthesia for office-based oculoplastic surgery. Dermatol Surg. 2005;31:766–9.CrossRefGoogle Scholar
  2. 2.
    Ing EB, Philteos J, Sholohov G, Ta Kim D, Nijhawan N, Mark PW, Gilbert J. Local anesthesia and anxiolytic techniques for oculoplastic surgery. Clin Ophthalmol. 2019;13:153–60.CrossRefGoogle Scholar
  3. 3.
    Bartamian M, Meyer DR. Site of service, anesthesia, and postoperative practice patterns for oculoplastic and orbital surgeries. Ophthalmology. 1996;103:1628–33.CrossRefGoogle Scholar
  4. 4.
    Vagefi MR, Lin CC, McCann JD, Anderson RL. Local anesthesia in oculoplastic surgery. Arch Facial Plast Surg. 2008. Scholar
  5. 5.
    Lalatsa A, Emeriewen K, Protopsalti V, Skelton G, Saleh GM. Developing transcutaneous nanoenabled anaesthetics for eyelid surgery. Br J Ophthalmol. 2016;100:871–6.CrossRefGoogle Scholar
  6. 6.
    Ahn ES, Mills DM, Meyer DR, Stasior GO. Sneezing reflex associated with intravenous sedation and periocular anesthetic injection. Am J Ophthalmol. 2008;146:31–5.CrossRefGoogle Scholar
  7. 7.
    Ascaso FJ, Peligero J, Longás J, Grzybowski A. Regional anesthesia of the eye, orbit, and periocular skin. Clin Dermatol. 2015;33:227–33.CrossRefGoogle Scholar
  8. 8.
    Ismail AR, Anthony T, Mordant DJ, MacLean H Regional nerve block of the upper eyelid in oculoplastic surgery. Eur J Ophthalmol 16:509–13.Google Scholar
  9. 9.
    Barnett P. Alternatives to sedation for painful procedures. Pediatr Emerg Care. 2009;25:415–9.CrossRefGoogle Scholar
  10. 10.
    Herlich A. Focused local anesthesia and analgesia for head and neck surgery. Int Anesthesiol Clin. 2012;50:13–25.CrossRefGoogle Scholar
  11. 11.
    Burroughs JR, Soparkar CNS, Patrinely JR, Kersten RC, Kulwin DR, Lowe CL. Monitored anesthesia care for enucleations and eviscerations. Ophthalmology. 2003;110:311–3.CrossRefGoogle Scholar
  12. 12.
    Yen KG, Elner VM, Musch DC, Nelson CC. Periocular versus general anesthesia for ocular enucleation. Ophthal Plast Reconstr Surg. 2008;24:24–8.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Anaesthesiology and ReanimationSchool of Medicine, Adana Research and Education Center, Baskent UniversityAdanaTurkey
  2. 2.Department of AnaesthesiologyCairo UniversityGizaEgypt

Personalised recommendations