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Br J Ophthalmol 2001;85:225-227 ( February )

Scientific correspondence

Local anaesthesia for 1221 vitreoretinal procedures R S B Newsom, A C Wainwright, C R Canning

Southampton Eye Unit, Southampton General Hospital and Shackleton Department of Anaesthesia, Southampton General Hospital, Southampton, UK

Correspondence to: Mr R S B Newsom, Vitreoretinal Unit, Moorfields Eye Hospital, City Road, London EC1V 2PD, UK rbnewsom{at}dircon.co.uk

Accepted for publication 28 August 2000

BACKGROUND---Vitreoretinal (VR) surgery has been increasingly performed under local anaesthesia (LA) in this unit. The results of an audit monitoring this change are presented.
METHODS---Data were collected on 1497 patients including type, volume, and position of the anaesthetic block, type of surgery, complications, and patient reactions.
RESULTS---1221/1479 (82%) patients had LA. They were older than those having general anaesthesia (GA) 63.5 years v 45.9 years; 146 (10.6%) blocks were intracone, 130 (10.6%) peribulbar, and 927 (75.9%) combined. Operations included 436 vitrectomies, 545 retinopexy with or without vitrectomy, and 238 buckling procedures. Some pain was felt by 9.4%, 8.8%, and 19.7% of patients during vitrectomy, retinopexy with or without vitrectomy, and buckling surgery respectively.
CONCLUSION---Local anaesthesia for VR surgery is well tolerated by patients, being effective throughout longer and more stimulating ocular surgery.

© 2001 by British Journal of Ophthalmology


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