Regional anesthesia with monitored anesthesia care for surgical repair of selected open globe injuries

Ingrid Scott, Steven Gayer, Irene Voo, Harry W. Flynn, Jose R. Diniz, Anna Venkatraman

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

BACKGROUND AMD OBJECTIVE: To investigate clinical features and visual acuity outcomes associated with the use of regional anesthesia with monitored anesthesia care (RA/MAC) versus general anesthesia for open globe injuries in adult reparable eyes. PATIENTS AND METHODS: Retrospective, consecutive case series including all adults with open globe injuries repaired at Bascom Palmer Eye Institute between 2000 and 2003. RESULTS: The study included 238 eyes of 238 patients with a median age of 41 years. RA/MAC was employed in 141 (59%) eyes and general anesthesia in 97 (41%) eyes. Patients who had RA/MAC were significantly (P < .001) more likely to have anterior wound location (64% corneal/limbal vs 50%), shorter wound length (6.5 vs 12 mm), and formed anterior chamber (82% vs 56%), and were significantly less likely to have an afferent pupillary defect (12% vs 43%). The improvement from presenting visual acuity to each postoperative follow-up interval was similar for the two groups. CONCLUSIONS: RA/MAC is a reasonable alternative to general anesthesia for selected patients with open globe injuries.

Original languageEnglish (US)
Pages (from-to)122-128
Number of pages7
JournalOphthalmic Surgery Lasers and Imaging
Volume36
Issue number2
StatePublished - Mar 1 2005

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Conduction Anesthesia
Anesthesia
General Anesthesia
Wounds and Injuries
Visual Acuity
Pupil Disorders
Anterior Chamber

All Science Journal Classification (ASJC) codes

  • Surgery
  • Ophthalmology

Cite this

Scott, Ingrid ; Gayer, Steven ; Voo, Irene ; Flynn, Harry W. ; Diniz, Jose R. ; Venkatraman, Anna. / Regional anesthesia with monitored anesthesia care for surgical repair of selected open globe injuries. In: Ophthalmic Surgery Lasers and Imaging. 2005 ; Vol. 36, No. 2. pp. 122-128.
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Scott, I, Gayer, S, Voo, I, Flynn, HW, Diniz, JR & Venkatraman, A 2005, 'Regional anesthesia with monitored anesthesia care for surgical repair of selected open globe injuries', Ophthalmic Surgery Lasers and Imaging, vol. 36, no. 2, pp. 122-128.

Regional anesthesia with monitored anesthesia care for surgical repair of selected open globe injuries. / Scott, Ingrid; Gayer, Steven; Voo, Irene; Flynn, Harry W.; Diniz, Jose R.; Venkatraman, Anna.

In: Ophthalmic Surgery Lasers and Imaging, Vol. 36, No. 2, 01.03.2005, p. 122-128.

Research output: Contribution to journalArticle

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