| Peer-Reviewed

Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery

Received: 14 April 2013     Published: 30 May 2013
Views:       Downloads:
Abstract

Purpose: To describe a surgical technique to access the posterior sub-Tenon’s space through a plica semilunaris incision where retrobulbar anesthesia is given in a safe and consistent manner. Methods: A modified technique for retrobulbar anesthesia with fewer complications. Results: This anesthetic approach has been used consistently and effectively in con-trolling intraoperative pain in 581 eyes undergoing both 20-gauge and small gauge pars plana vitrectomy over the last 5 years at our institution. Conclusion: Retrobulbar anesthesia through a plica semilunaris incision using a blunt cannula may have a better safety profile than the intraconal approach using a sharp needle.

Published in Journal of Surgery (Volume 1, Issue 2)
DOI 10.11648/j.js.20130102.11
Page(s) 12-13
Creative Commons

This is an Open Access article, distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution and reproduction in any medium or format, provided the original work is properly cited.

Copyright

Copyright © The Author(s), 2013. Published by Science Publishing Group

Keywords

Retrobulbar Anesthesia, Sub-Tenon, Vitrectomy

References
[1] Rubin AP. Complications of local anaesthesia for ophthalmic surgery. British journal of anaesthesia. Jul 1995;75(1):93-96.
[2] Hamilton RC. A discourse on the complications of retrobulbar and peribulbar blockade. Canadian journal of ophthalmology. Journal canadien d'ophtalmologie. Dec 2000;35(7):363-372.
[3] Hansen EA, Mein CE, Mazzoli R. Ocular anesthesia for cataract surgery: a direct sub-Tenon's approach. Ophthalmic surgery. Oct 1990;21(10):696-699.
[4] Oetting, T. Basic Principles of Ophthalmic Surgery. Second edition. American Academy of Ophthalmology; 2011.
[5] Kakizaki H, Takahashi Y, Nakano T, et al. Anatomy of Tenons capsule. Clinical & experimental ophthalmology. Aug 2012;40(6):611-616.
[6] Dombrow M, Elkomos G, Bhagat N. Sub-Tenon Anesthesia: An Efficacious and Safe Route for Pars Plana Vitrectomies. [abstract] Investigative Ophthalmology & Visual Science 2008; 49:E-Abstract 5985.
[7] Winder S, Walker SB, Atta HR. Ultrasonic localization of anesthetic fluid in sub-Tenon's, peribulbar, and retrobulbar techniques. Journal of cataract and refractive surgery. Jan 1999;25(1):56-59.
Cite This Article
  • APA Style

    Patel SN, Langer PD, Bhagat N. (2013). Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. Journal of Surgery, 1(2), 12-13. https://doi.org/10.11648/j.js.20130102.11

    Copy | Download

    ACS Style

    Patel SN; Langer PD; Bhagat N. Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. J. Surg. 2013, 1(2), 12-13. doi: 10.11648/j.js.20130102.11

    Copy | Download

    AMA Style

    Patel SN, Langer PD, Bhagat N. Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery. J Surg. 2013;1(2):12-13. doi: 10.11648/j.js.20130102.11

    Copy | Download

  • @article{10.11648/j.js.20130102.11,
      author = {Patel SN and Langer PD and Bhagat N},
      title = {Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery},
      journal = {Journal of Surgery},
      volume = {1},
      number = {2},
      pages = {12-13},
      doi = {10.11648/j.js.20130102.11},
      url = {https://doi.org/10.11648/j.js.20130102.11},
      eprint = {https://article.sciencepublishinggroup.com/pdf/10.11648.j.js.20130102.11},
      abstract = {Purpose: To describe a surgical technique to access the posterior sub-Tenon’s space through a plica semilunaris incision where retrobulbar anesthesia is given in a safe and consistent manner. Methods: A modified technique for retrobulbar anesthesia with fewer complications. Results: This anesthetic approach has been used consistently and effectively in con-trolling intraoperative pain in 581 eyes undergoing both 20-gauge and small gauge pars plana vitrectomy over the last 5 years at our institution. Conclusion: Retrobulbar anesthesia through a plica semilunaris incision using a blunt cannula may have a better safety profile than the intraconal approach using a sharp needle.},
     year = {2013}
    }
    

    Copy | Download

  • TY  - JOUR
    T1  - Plica Semilunaris Sub-Tenon Approach Retrobulbar Anesthesia for Posterior Segment Surgery
    AU  - Patel SN
    AU  - Langer PD
    AU  - Bhagat N
    Y1  - 2013/05/30
    PY  - 2013
    N1  - https://doi.org/10.11648/j.js.20130102.11
    DO  - 10.11648/j.js.20130102.11
    T2  - Journal of Surgery
    JF  - Journal of Surgery
    JO  - Journal of Surgery
    SP  - 12
    EP  - 13
    PB  - Science Publishing Group
    SN  - 2330-0930
    UR  - https://doi.org/10.11648/j.js.20130102.11
    AB  - Purpose: To describe a surgical technique to access the posterior sub-Tenon’s space through a plica semilunaris incision where retrobulbar anesthesia is given in a safe and consistent manner. Methods: A modified technique for retrobulbar anesthesia with fewer complications. Results: This anesthetic approach has been used consistently and effectively in con-trolling intraoperative pain in 581 eyes undergoing both 20-gauge and small gauge pars plana vitrectomy over the last 5 years at our institution. Conclusion: Retrobulbar anesthesia through a plica semilunaris incision using a blunt cannula may have a better safety profile than the intraconal approach using a sharp needle.
    VL  - 1
    IS  - 2
    ER  - 

    Copy | Download

Author Information
  • Institute of Ophthalmology and Visual Science, UMDNJ - New Jersey Medical School, Newark, NJ 07103

  • Institute of Ophthalmology and Visual Science, UMDNJ - New Jersey Medical School, Newark, NJ 07104

  • Institute of Ophthalmology and Visual Science, UMDNJ - New Jersey Medical School, Newark, NJ 07105

  • Sections