Sanders R J, Nelson L B, Deutsch J A
Department of Pediatric Ophthalmology, Wills Eye Hospital, Philadelphia, Pennsylvania 19107.
Am J Ophthalmol. 1990 Jun 15;109(6):705-8. doi: 10.1016/s0002-9394(14)72440-7.
We prospectively studied 76 patients to analyze the effectiveness of peribulbar anesthesia during strabismus surgery. The patients, ranging in age from 14 to 77 years, were given anesthesia with standard preoperative medication and a peribulbar injection of a mixture of 2% mepivacaine hydrochloride and hyaluronidase. Only one of the 76 patients required an additional injection of anesthetic to achieve adequate anesthesia. No morbidity was associated with the peribulbar anesthesia. Local anesthesia, particularly retrobulbar anesthesia, has been used as an alternative technique in an attempt to reduce the morbidity and mortality associated with general anesthesia in ocular surgery, particularly in those patients with high-risk characteristics. Even with retrobulbar anesthesia, however, there is a risk of morbidity and, in rare cases, mortality. Our results suggest that the use of peribulbar anesthesia is a safe and effective means of anesthesia in strabismus surgery because of minimal associated morbidity.
我们对76例患者进行了前瞻性研究，以分析斜视手术中球周麻醉的有效性。患者年龄在14至77岁之间，术前给予标准药物治疗，并在球周注射2%盐酸甲哌卡因和透明质酸酶的混合液进行麻醉。76例患者中只有1例需要额外注射麻醉剂以达到充分麻醉。球周麻醉未引起任何并发症。局部麻醉，尤其是球后麻醉，已被用作一种替代技术，试图降低眼科手术中与全身麻醉相关的发病率和死亡率，特别是在那些具有高危特征的患者中。然而，即使是球后麻醉，也存在发病风险，在极少数情况下甚至有死亡风险。我们的结果表明，由于相关并发症极少，球周麻醉是斜视手术中一种安全有效的麻醉方法。
