Anestesia retrobulbar com catéter flexível de Teflon em pacientes com comprimento axial ocular aumentado

Autores:

Paulo E. C. Dantas,

M. Cristina Nishiwaki-Dantas,

Marta Junqueira Henriques,

Geraldo V. de Almeida

ARTIGO ORIGINAL

Arquivos Brasileiros de Oftalmologia

versão impressa ISSN 0004-2749versão On-line ISSN 1678-2925

Arq. Bras. Oftalmol. vol.61 no.1 São Paulo fev. 1998

http://dx.doi.org/10.5935/0004-2749.19980109

SUMMARY

Globe perforation is one of the most serious complications associated with retrobulbar or peribulbar anesthesia, with high impact on future vision. Ultrassonography of retrobulbar space in patients submitted to retrobulbar anesthesia with normal ocular axial length has shown that retrobulbar needle tips are closer to the globe than previously thought. This could be dangerous in patients with enlarged eye such as in high myopia.

We describe the use of retrobulbar anesthesia with a flexible catheter in 15 patients with extended axial ocular length.

Texto completo disponível apenas em PDF.

REFERÊNCIAS

1 Knapp H. On cocaine and its use in Ophthalmology and general surgery. Arch Ophthalmol 1884;13:402-8.

2 Schneider ME, Milstein DE, Oyakawa RT et al. Ocular perforation from a retrobulbar injection. Am J Ophthalmol 1988; 106:35-40.

3 Kimble JA, Morris RE, Whiterspoon CD, Feist RM. Globe perforation from peribulbar anestesia. Arch Ophthalmol 1987;105:749.

4 Hay A, Flynn HW, Hoffman JI, Rivera DH. Needle penetration of the globe during retrobulbar and peribulbar injection. Ophthalmology 1991;98:1017-24.

5 Rinkoff JS, Doft BH, Lobes LA. Management of ocular penetration of local anesthesia preceding cataract surgery. Arch Ophthalmol 1991;109:1421-5.

6 Feibel RM. Current concepts in retrobulbar anesthesia. Surv Ophthalmol 1985;30:102-10.

7 Sullivan KL, Brown GC, Forman AR et al. Retrobulbar anesthesia and retinal vascular obstruction. Ophthalmology 1978;90:373-7.

8 Goldchmit M, Scott AB. Avaliação da motilidade extrínseca ocular de pacientes facectomizados sob anestesia retrobulbar. Arq Bras Oftal 1994;57:114-6.

9 Peterson WC, Yanoff M. Subconjunctival anesthesia. An alternative to retrobulbar and peribulbar techniques. Ophthalmic Surg 1991;22:199-201.

10 Furuta M, Toriumi T, Kashiwagi K et al. Limbal anesthesia for cataract surgery. Ophthalmic Surg 1990;21:22-5.

11 Aquavella J. Comment (Limbal anesthesia for cataract surgery.). Ophthalmic Surg 1990;21:26.

12 Birch AA, Evans M, Redembo E. The ultrassonic location of retrobulbar needle during retrobulbar block. Ophthalmology 1995;102:824-6.

13 Dantas PECD, Nishiwaki-Dantas MC, Henriques MJ, Almeida GV. Retrobulbar anesthesia with a flexible catheter. Ophthalmic Surg Laser 1996;27:275-8.

14 Tamai M. A retained retrobulbar catheter for repetitive injection of anesthetics during ophthalmic surgery. Ophthalmic Surg 1983;14:579-81.

15 Greenbaum S. Parabulbar anesthesia. Am J Ophthalmol 1992;114:776.

Outros artigos científicos

Clinical Conditions And Health Care Demand Behavior Of Chronic Renal Patients Acta Paulista de Enfermagem

Implementação, Acesso e Uso Das Práticas Integrativas e Complementares No Sistema Único de Saúde: Revisão da Literatura Ciência & Saúde Coletiva

Efeito Do Treinamento em Aspiração de Corpo Estranho No Nível de Conhecimento de Estudantes Brazilian Journal of Otorhinolaryngology

Doença de Alzheimer Na Pessoa Idosa/família: Dificuldades Vivenciadas e Estratégias de Cuidado Escola Anna Nery