Eye evisceration under regional anesthesia – a Case Report
DOI:
https://doi.org/10.25751/rspa.21625Keywords:
elderly, eye blocks, regional anesthesia, ambulatory surgeryAbstract
Abstract
Objective
The role of regional anesthesia in ophthalmic surgeries as an alternative to general anesthesia has been described to improve patient comfort and pain, as well as surgical conditions. We report the first case of eye enucleation performed under regional anaesthesia at our University Hospital Center
Case Report
83 year-old, male, caucasian, ASA III, diagnosed with iris melanoma with extra-scleral invasion, proposed for enucleation of the left eye. We performed peribulbar, supratrochlear, supraorbital and infraorbital nerves blocks using 0,75% ropivacaine (4mL, 2mL, 2mL and 2mL, respectively) as anesthetic technic. The surgery underwent uneventfully.
Conclusion
Regional anesthesia can be an effective alternative to general anesthesia in eye enucleation, namely in patients with comorbidities and in ambulatory context.
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References
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Copyright (c) 2021 Rita Teles, Rita Peixoto, Beatriz Carvalho, Paula Maia Gonçalves
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