Effect of Peribulbar Anesthesia on Lid and Globe Akinesia.

Kang, Sang Myung; Kim, Man Soo; Kim, Jae Ho

Original Article

Journal of the Korean Ophthalmological Society 1988;29(1):183-187.
Published online January 1, 1988.

Effect of Peribulbar Anesthesia on Lid and Globe Akinesia.

Sang Myung Kang, Man Soo Kim, Jae Ho Kim

Department of Ophthalmology, Catholic Medical University, Kangnam St. Mary's Hospital, Seoul, Korea.

Peribulbar anesthesia 법에 따른 안구 및 안검의 마취효과에 관한 임상적 고찰

강상명(Sang Myung Kang),김만수(Man Soo Kim),김재호(Jae Ho Kim)

Abstract

A new method so-called peribulbar anesthesia for the lid and the eyeball was clinically investigated to reduce the complication of the retrobulbar anesthesia and to simplify the technique. In twenty-eight cases of extracapsular cataract extraction with posterior chamber lens implantation, each 3.5ml of the 2% lidocaine without combination of hyaluronidase or any anesthetic agent was injected into upper portion and lower portion of the orbit. Akinetic effect for the lid began to appear at about 10 minutes after the injection and at 20 minutes, the effect was sufficient to operate. By 30 minutes the lid akinesia was sufficient to operate in 92.7% of twenty-eight cases. The effect lasted for 51 minutes. The globe akinesia began to appear at about 15 minutes after the injection and at 25 minutes the akinesia was sufficient to operate. By 30 minutes the globe akinesia was sufficient to operate in 78.6% of twenty-eight cases. The effect lasted for 71 minutes.