Artículos de revistas
Peribulbar Versus General Anesthesia For Horizontal Strabismus Surgery [anestesia Peribulbar Versus Anestesia Geral Na Cirurgia De Estrabismo Horizontal]
Registro en:
Arquivos Brasileiros De Oftalmologia. , v. 71, n. 3, p. 352 - 356, 2008.
42749
2-s2.0-62149121401
Autor
de Carvalho K.M.
Millan T.
Minguini N.
Wakamatsu T.H.
Institución
Resumen
Purpose: To compare the results of strabismus surgery under peribulbar and general anesthesia in cases of small and moderate angle of horizontal strabismus. Methods: Medical records of eighty-four patients with small and moderate angle horizontal strabismus who underwent strabismus surgery were reviewed. Forty-two patients were submitted to the surgery under peribulbar anesthesia and forty-two under general anesthesia. The surgery was considered satisfactory when postoperative angle was 10 prism diopters or less. Results: Surgery was satisfactory in all patients. Mann-Whitney test showed no difference in the preoperative angle of deviation (p=0.366) and in the postoperative results (p=0.800) between the two groups. Adjusting for the variables age and type of strabismus (esotropia and exotropia), ANCOVA (analysis of covariance) results showed no statistical difference (p=0.368). There were no complications due to surgery or anesthesia in either group. Conclusions: This study suggested that there was no difference between the postoperative results of strabismus surgery under peribulbar and general anesthesia in small and moderate angle of horizontal strabismus. 71 3 352 356 Sanders, J.R., Nelson, L.B., Deutsch, J.A., Peribulbar anesthesia for strabismus surgery (1990) Am J Ophthalmol, 109 (6), pp. 705-708 Szmyd, S.M., Nelson, L.B., Calhoun, J.H., Harley, R.D., Retrobulbar anesthesia in strabismus surgery (1984) Arch Ophthalmol, 102 (9), pp. 1325-1327 Yu, C.B., Wong, V.W., Fan, D.S., Yip, W.W., Lam, D.S., Comparison of lidocaine 2% gel versus amethocaine as the sole anesthetic agent for strabismus surgery (2003) Ophthalmology, 110 (7), pp. 1426-1429 Davis D.B. II, Mandel, M.R., Efficacy and complication rate of 16,224 consecutive peribulbar blocks. A prospective multicenter study (1994) J Cataract Refract Surg, 20 (3), pp. 327-337 (1994) Erratum in: J Cataract Refract Surg, 20 (6), p. 673 (1994) Comment in: J Cataract Refract Surg, 20 (6), p. 673 (1995) J Cataract Refract Surg, 21 (1), p. 4 Wang, H.S., Peribulbar anesthesia for ophthalmic procedures (1988) J Cataract Refract Surg, 14 (4), pp. 441-443 Hamilton, R.C., Complications of ophthalmic regional anesthesia (1998) Ophthalmol Clin North Am, 11, pp. 99-114 Prieto-Díaz, J., Souza-Dias, C., Cirurgia do estrabismo (2002) Estrabismo, pp. 465-514. , Prieto-Díaz J, Souza-Dias C. 4a ed. São Paulo: Livraria Santos Editora Ripart, J., Lefrant, J.Y., de La Coussay, J.E., Prat-Pradal, D., Vivien, B., Eledjam, J.J., Peribulbar versus retrobulbar anesthesia for ophthalmic surgery: an anatomical comparison of extraconal and intraconal injections (2001) Anesthesiology, 94 (1), pp. 56-62 (2001) Comment in: Anesthesiology, 95 (6), pp. 1533-1535 Holekamp, N.M., Wax, M.B., Intraocular anesthetic following peribulbar anesthesia (1998) Arch Ophthalmol, 116 (3), pp. 380-381 Feibel, R.M., Checking for globe perforation after retrobulbar injection (1995) Surv Ophthalmol, 40 (1), p. 86 (1995) Comment on: Surv Ophthalmol, 39 (4), pp. 344-345 Lavrich, J.B., Nelson, L.B., Local anaesthesia for strabismus surgery (1992) Ophthalmol Clin North Am, 5, pp. 131-141 Cheng, K.P., Larson, C.E., Biglan, A.W., D'Antonio, J.A., A prospective, randomized controlled comparison of retrobulbar and general anesthesia for strabismus surgery (1992) Ophthalmic Surg, 23 (9), pp. 585-590 Glantz, L., Drenger, B., Gozal, Y., Perioperative myocardial ischemia in cataract surgery patients: general versus local anesthesia (2000) Anesth Analg, 91 (6), pp. 1415-1419 (2001) Comment in: Anesth Analg, 93 (2), p. 518 Cozal, Y., Cohen, J., Glantz, L., Drenger, B., Incidence of perioperative myocardial ischemia in cataract surgery: comparison of local and general anesthesia (2001) Anesthesiology, 94 (2), p. 376 Greenberg, M.F., Pollard, Z.F., Adult strabismus surgery under propofol sedation with local versus general anesthesia (2003) J AAPOS, 7 (2), pp. 116-120