Anesthesia for In-Office Oculoplastic Surgery: How We Do It

  • Brent R. Moody
  • John B. Holds


The effective use of local anesthesia combined with minimal oral sedation can obviate the need for intravenous sedation or general anesthesia in many common oculoplastic procedures. We routinely perform upper and lower blepharoplasty, fat pad repositioning, ptosis correction, tumor removal and reconstruction, and entropion and ectropion repair without the use of intravenous or general anesthesia.


Local Anesthesia Sedative Agent Minimal Patient Discomfort Inferior Fornix Unfamiliar Location 


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  1. 1.
    Bartfield JM, Holmes TJ, Raccio-Robak N. A comparison of proparacaine and tetracaine eye anesthetics. Acad Emerg Med 1994;1:364–367.PubMedCrossRefGoogle Scholar
  2. 2.
    Havener WH. Anesthesia. In: Ocular Pharmacology. St. Louis: CV Mosby; 1983:72–119.Google Scholar
  3. 3.
    Scarfone RJ, Jasani M, Gracely EJ. Pain of local anesthetics: rate of administration and buffering. Ann Emerg Med 1998;31:36–40.CrossRefPubMedGoogle Scholar
  4. 4.
    Terzano MG, Rossi M, Palomba V, et al. New drugs for insomnia: comparative tolerability of zopiclone, zolpidem and zalepon. Drug Saf 2003;26:261–282.CrossRefPubMedGoogle Scholar
  5. 5.
    Friedman PM, MaFong EA, Friedman ES, Geronemus RG. Topical anesthetics update: EMLA and beyond. Dermatol Surg 2001;27:1019–1026.CrossRefPubMedGoogle Scholar
  6. 6.
    Matarasso SL, Glogau RG. Local anesthesia. In: Lask GP, Moy RL, (eds.). Principles and Techniques of Cutaneous Surgery. New York: McGraw-Hill, 1996:63–76.Google Scholar
  7. 7.
    Moody BR, Holds JB. Anesthesia for office-based ocuplastic surgery. Dermatol Surg 2005;31:766–769.PubMedGoogle Scholar

Copyright information

© Springer Science+Business Media, LLC 2008

Authors and Affiliations

  • Brent R. Moody
    • 1
  • John B. Holds
    • 2
  1. 1.Department of DermatologyVanderbilt UniversityNashvilleUSA
  2. 2.Departments of Ophthalmology and Otolaryngology-Head and Neck SurgerySaint Louis UniversitySt. LouisUSA

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