Ophtalmic anaesthesia

“This specialty affords potentially very valuable training for SpR 1/2 trainees. The age range of the patients and the wide adoption of local anaesthetic techniques are particular aspects that can be beneficial to the development of the trainee. However, it is recognised that only a proportion of trainees will be able to gain this experience in the first 2 years of SpR training”.

Choice of local or general anaesthetic techniques in relation to the patient and surgery with particular reference to:
Strabismus surgery
Cataract surgery
Surgery for the detached retina
Penetrating eye injury
Control of intraocular pressure
Techniques of general anaesthesia for ophthalmic surgery
Appropriate local anaesthetic methods
Topical anaesthesia
Risks of sharp needles in peribulbar and retrobulbar techniques
Sub-Tenon’s block
Problems of glaucoma surgery
Assessment and preparation, including the use and organization of day care facilities
Anaesthetic management of patients for lachrymal surgery including syringing and probing and dacrocystorhinostomy

Gavin Parness and Simon Underhill
Regional anaesthesia for intraocular surgery

H L Gordon
Preoperative assessment in ophthalmic regional anaesthesia