During ophthalmic surgeries, anaesthesia is required so that the patient will not experience any discomfort. Anaesthesia type depends on the type and duration of surgery, the patient's cooperation, and the surgeon's preference. Various anaesthetic techniques have been developed over the years and have been modified to provide better anaesthesia with minimal complications. We will discuss the history, techniques, and new modifications in the field of ocular anaesthesia here.
During eye surgery, it is essential to minimise patient movement as much as possible. General anaesthesia (GA) is typically associated with akinesia (from a neuromuscular block) and low intraocular pressure in eye surgery. GA does not always achieve these conditions. In a closed claim analysis by Gild and coworkers, 30% of eye injury claims were attributed to the patient moving during ophthalmic surgery under general anaesthesia.
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