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Anesthesia for Small-Incision Cataract Surgery

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Manual Small Incision Cataract Surgery

Abstract

Consideration of patient characteristics is vital for indication of anesthesia in manual small-incision cataract surgery. Local techniques, including topical, intracameral, and regional blocks (retrobulbar, peribulbar, and sub-Tenon’s block), are commonly used with advantages, disadvantages, and associated complications, which will be described. Topical anesthesia has gained popularity, and the benefit of additional intracameral anesthesia, although used by many surgeons, is controversial. Among regional block procedures, peribulbar anesthesia is frequently preferred, but retrobulbar block is more effective and the rate of complications is very low. Sedation in local anesthesia can be useful but should be used with caution. General anesthesia is rarely employed.

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Author information

Authors and Affiliations

  1. Department Ophthalmology, Hospital Ramón y Cajal, C Colmenar km 9100, Madrid, 28034, Spain

    Jaime Tejedor

  2. Faculty of Medicine, Universidad Autónoma de Madrid, Arzobispo Morcillo, s/n, Madrid, 28029, Spain

    Jaime Tejedor

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  1. Jaime Tejedor
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Correspondence to Jaime Tejedor .

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Editors and Affiliations

  1. Ophthalmic Consultants of Boston, Waltham, Massachusetts, USA

    Bonnie An Henderson

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Tejedor, J. (2016). Anesthesia for Small-Incision Cataract Surgery. In: Henderson, B. (eds) Manual Small Incision Cataract Surgery. Springer, Cham. https://doi.org/10.1007/978-3-319-24666-6_3

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  • DOI: https://doi.org/10.1007/978-3-319-24666-6_3

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-24664-2

  • Online ISBN: 978-3-319-24666-6

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