Kinetic anaesthesia for laser surgery

F. M. Cuthbertson*, R. S. B. Newsom, A. C. Wainwright

*Corresponding author for this work

Research output: Contribution to journalArticlepeer-review

Abstract

Purpose: Local anaesthetic is widely used in ophthalmic surgery and more recently in vitreoretinal surgery. Akinesia is a useful effect of local anaesthetic blocks, but there are situations where some residual globe movements are of benefit. We looked to see whether reducing the volume of anaesthetic solution used in a block could retain some kinesia while achieving good analgesia. 

Methods: We compared two groups of patients undergoing panretinal photocoagulation (PRP) with an indirect laser. The control group received 5ml of anaesthetic solution in a single injection by a standard intraconal technique; a second group received a lower volume of solution by the same technique. We recorded the adequacy of anaesthesia and the amount of residual kinesia for the two groups. Differences between groups were analysed using the Student's t-test and χ2 tests. 

Results: The low-volume group received an average of 2.8ml, compared to 5ml in the control group. There was no significant difference in the adequacy of analgesia achieved, however 16/18 (89%: 95% confidence intervals (CI) =81.5 -96.3%) of the low-volume group had good perioperative kinesia compared to just 3/21 (14%: 95%; CI =6.6 -21.9%) of the controls (P<0.001). 

Conclusions: We have shown that low-volume intraconal blocks retain some perioperative kinesia without compromising their analgesic effect.

Original languageEnglish
Pages (from-to)1205-1207
Number of pages3
JournalEye
Volume19
Issue number11
Early online date22 Oct 2004
DOIs
Publication statusPublished - 1 Nov 2005

Keywords

  • indirect panretinal photocoagulation
  • kinesia
  • local anaesthesia

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