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Anesthesia for Ophthalmological Procedures

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Anesthesiology

Abstract

Ophthalmic surgery commonly occurs among pediatric populations. The eye has a unique physiology that must be understood for successful anesthetic management of ophthalmic surgical cases. Many medications specific to the eye are used during ophthalmic surgery that can cause systemic effects. Also, many medications administered by the anesthesiologist can have undesirable effects on the eye. Common ophthalmologic surgeries and conditions such as retinopathy of prematurity, ruptured globe, and strabismus all have specific anesthetic considerations.

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References

  1. Presland A, Price J. Ocular anatomy and physiology relevant to anesthesia. Anaesth Intensive Care Med. 2010;11(10):438–43.

    Article  Google Scholar 

  2. Turvey TA, Golden BA. Orbital anatomy for the surgeon. Oral Maxillofac Surg Clin North Am. 2012;24(4):525–36.

    Article  PubMed  PubMed Central  Google Scholar 

  3. Moore KL, Dalley AF. Clinically oriented anatomy. 5th ed. Philadelphia: Lippincott; 2006.

    Google Scholar 

  4. Kels BD, Grzybowski A, Grant-Kels JM. Human ocular anatomy. Clin Dermatol. 2015;33:140–6.

    Article  PubMed  Google Scholar 

  5. Park JT, Lim HK, Jang KY, Um DJ. The effects of desflurane and seveflurane on the intraocular pressure associated with endotracheal intubation in pediatric ophthalmic surgery. Koren J Anesthesiol. 2013;64(2):117–21.

    Article  CAS  Google Scholar 

  6. Davis PJ, Cladis FP, Motomoya EK. Smith’s anesthesia for infants and children. 8th ed. St. Louis: Elsvier Mosby; 2011.

    Google Scholar 

  7. Cunningham AJ, Barry P. Intraocular pressure-physiology and implications for anesthetic management. Can Anaesth Soc J. 1986;33(2):195–208.

    Article  PubMed  CAS  Google Scholar 

  8. Meuwly C, Golanov E, Chowdhury T, Erne P, Schaller B. Trigeminal cardiac reflex: new thinking model about the definition based on a literature review. Medicine. 2015;94(5):e484.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  9. Song IA, Seo KS, Oh AY, Baik JS, Kim JH, Hwang JW, Jeon YT. Dexmedetomidine injection during strabismus surgery reduces emergence agitation without increasing oculocardiac reflex in children: a randomized controlled trial. PLoS One. 2016;11(9):e0162785.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  10. Rodger A, Cox RG. Anesthetic management for pediatric strabismus surgery: continuing professional development. Can J Anesth. 2010;57:602–17.

    Article  Google Scholar 

  11. Lubbers HT, Zweifel D, Gratz KW, Kruse A. Classification of potential risk factors for trigeminocardiac reflex in craniomaxillofacial surgery. J Oral Maxillofac Surg. 2010;68:1317–21.

    Article  PubMed  Google Scholar 

  12. Kiryazov K, Stefova M, Iotova V. Can ophthalmic drops cause central nervous system depression and cardiogenic shock in infants? Pediatr Emerg Care. 2013;29:1207–9.

    Article  PubMed  Google Scholar 

  13. Cavallaro RJ, Krumperman LW, Kugler F. Effect of ecthothiophate therapy on the metabolism of succyinylcholine in man. Anesth Analg. 1968;47(5):570–4.

    Article  PubMed  CAS  Google Scholar 

  14. Ellis PP, Esterdahl M. Echothiophate iodide therapy in children: effect upon cholinesterase levels. Arch Ophthalmol. 1967;77(5):598–601.

    Article  PubMed  CAS  Google Scholar 

  15. Sbaraglia F, Mores N, Garra R, Giuratrabocchetta G, Lepore D, Molle F, Savino G, Piastra M, Pulitano S, Sammartino M. Phenylephrine eye drops in pediatric anesthesia patients undergoing ophthalmic surgery: incidence, presentation, and management of complications during general anesthesia. Pediatr Anesth. 2014;24:400–5.

    Article  Google Scholar 

  16. Bailey PL. Timolol and postoperative apnea in neonates and young infants. Anesthesiology. 1984;61:622.

    Article  PubMed  CAS  Google Scholar 

  17. France NK, France TD, Woodburn JD, Burbank DP. Succinylcholine alteration of the forced duction test. Ophthalmology. 1980;87(12):1282–7.

    Article  CAS  PubMed  Google Scholar 

  18. Chiu CL, Wang CY. Effect of rocuronium compared with succinylcholine on intraocular pressure during rapid sequence induction of anaesthesia. BMJ. 1999;82(5):757–60.

    CAS  Google Scholar 

  19. Vinik HR. Intraocular pressure changes during rapid sequence induction and intubation: a comparison of rocuronium, atracurium and succinylcholine. J Clin Anesth. 1999;11(2):95–100.

    Article  CAS  PubMed  Google Scholar 

  20. Nagdeve NG, Yaddanapudi S, Pandav SS. The effect of different doses of ketamine on intraocular pressure in anesthetized children. J Pediatr Ophthalmol Strabismus. 2006;43(4):219–23.

    PubMed  CAS  Google Scholar 

  21. Wadia S, Bhola R, Lorenz D, Padmanabhan P, Gross J, Stevenson M. Ketamine and intraocular pressure in children. Ann Emerg Med. 2014;64(4):385–8.

    Article  PubMed  Google Scholar 

  22. Ying GS, Maguire MG, Cyert LA, Ciner E, Quinn GE, Kulp MT, Orel-Bixler D, Moore B. Prevalence of vision disorders by racial and ethnic group among children participating in Head Start. Ophthalmology. 2014;121(3):630–6.

    Article  PubMed  Google Scholar 

  23. Gan TJ, Diemunsch P, Habib AS, Kovac A, et al. Consensus guidelines for the management of postoperative nausea and vomiting. Anesth Analg. 2014;118(1):85–113.

    Article  PubMed  Google Scholar 

  24. Hohne C. Postoperative nausea and vomiting in pediatric anesthesia. Curr Opin Anaesthesiol. 2014;27(3):303–8.

    Article  PubMed  CAS  Google Scholar 

  25. Bowhay AR, May HA, Rudnicka AR, Booker PD. A randomized controlled trial of the antiemetic effect of three doses of ondansetron after strabismus surgery in children. Pediatr Anesth. 2001;11:215–2.

    Article  CAS  Google Scholar 

  26. Ibrahim AN, Shabana T. Sub-Tenon’s injection versus paracetamol in pediatric strabismus surgery. Saudi J Anaesth. 2017;11(1):72–6.

    Article  PubMed  PubMed Central  CAS  Google Scholar 

  27. Dell R, Williams B. Anaesthesia for strabismus surgery: a regional survey. Br J Anaesth. 1999;82(5):761–3.

    Article  PubMed  CAS  Google Scholar 

  28. Li X, Zarbin MA, Bhagat N. Pediatric open globe injury: a review of the literature. J Emerg Trauma Shock. 2015;8(4):216–23.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Mowafi HA, Aldossary N, Ismail SA, Algahtani J. Effect of dexmedetomidine premedication on the intraocular pressure changes after succinylcholine and intubation. Br J Anaesth. 2008;100(4):485–9.

    Article  PubMed  CAS  Google Scholar 

  30. Pandey K, Badola RP, Kumar S. Time course of intraocular hypertension produced by suxamethonium. Br J Anaesth. 1972;44(2):191–6.

    Article  PubMed  CAS  Google Scholar 

  31. Vachon CA, Warner DO, Bacon DR. Succinylcholine and the open globe. Tracing the teaching. Anesthesiology. 2003;99(1):220–3.

    Article  PubMed  Google Scholar 

  32. Seidel J, Dorman T. Anesthetic management of preschool children with penetrating eye injuries: postal surgery of pediatric anesthetists and review of the available evidence. Pediatr Anesth. 2006;16:769–76.

    Article  Google Scholar 

  33. Quimson SK. Retinopathy of prematurity: pathogenesis and current treatment options. Neonatal Netw. 2015;34(5):284–7.

    Article  PubMed  Google Scholar 

  34. Chen J, Smith LEH. Retinopathy of prematurity. Angiogenesis. 2007;10:133–40.

    Article  PubMed  Google Scholar 

  35. Hartnett ME, Lane RH. Effects of oxygen on the development and severity of retinopathy of prematurity. J AAPOS. 2013;17(3):229–34.

    Article  PubMed  PubMed Central  Google Scholar 

  36. Gorbe E, Vamos R, Joo GJ, Jeager J, et al. Perioperative analgesia of infants during the therapy for retinopathy of prematurity. Med Sci Monit. 2010;16(4):186–9.

    Google Scholar 

  37. Jian JB, Stauss R, Luo XQ, Nie C, et al. Anaesthesia modalities during laser photocoagulation for retinopathy of prematurity: a retrospective, longitudinal study. BMJ Open. 2017;7:e013344.

    Article  Google Scholar 

  38. Sammartino M, Bocci MG, Ferro G, Mercurio G, et al. Efficacy and safety of continuous intravenous infusion of remifentanil in preterm infants undergoing laser therapy in retinopathy of prematurity: clinical experience. Pediatr Anesth. 2003;13:596–602.

    Article  CAS  Google Scholar 

  39. Kinochi K. Anaesthetic considerations for the management of very low and extremely low birth weight infants. Best Pract Res Clin Anaesthesiol. 2004;18(2):273–90.

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Department of Anesthesia, Cincinnati Children’s Hospital Medical Center, University of Cincinnati, Cincinnati, OH, USA

    Charlotte Walter M.D.

Authors
  1. Charlotte Walter M.D.
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Correspondence to Charlotte Walter M.D. .

Editor information

Editors and Affiliations

  1. Hospital University Pennsylvania, Perelman School of Medicine, Philadelphia, Pennsylvania, USA

    Basavana G. Goudra

  2. Department of Anesthesiology, Emory University, Atlanta, Georgia, USA

    Michael Duggan

  3. Department of Anesthesiology, Cincinnati Children’s Hospital Medical Center, Cincinnati, Ohio, USA

    Vidya Chidambaran

  4. University Hospitals Birmingham, Birmingham, United Kingdom

    Hari Prasad Krovvidi Venkata

  5. Emory University Hospital, Atlanta, Georgia, USA

    Elizabeth Duggan

  6. University of Alabama at Birmingham, Birmingham, Alabama, USA

    Mark Powell

  7. All India Institute of Medical Sciences (AIIMS), New Delhi, Delhi, India

    Preet Mohinder Singh

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Walter, C. (2018). Anesthesia for Ophthalmological Procedures. In: Goudra, B., et al. Anesthesiology. Springer, Cham. https://doi.org/10.1007/978-3-319-74766-8_37

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  • DOI: https://doi.org/10.1007/978-3-319-74766-8_37

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-74765-1

  • Online ISBN: 978-3-319-74766-8

  • eBook Packages: MedicineMedicine (R0)

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