- Preface
- Contributors
- Abbreviations
- Chapter 1 History of ophthalmic anaesthesia
- Chapter 2 Anatomic considerations
- Chapter 3 Ocular physiology relevant to ophthalmic anaesthesia
- Chapter 4 Pharmacology for ophthalmic local anaesthesia
- Chapter 5 Preoperative assessment and preparation
- Chapter 6 Needle-based orbital regional anaesthesia for adult ophthalmic surgery
- Chapter 7 Cannula-based sub-Tenon's block for adult ophthalmic surgery
- Chapter 8 Ophthalmic topical anaesthesia
- Chapter 9 Monitored sedation for ophthalmic surgery
- Chapter 10 Anaesthesia for oculoplastic surgical procedures
- Chapter 11 General anaesthesia for adult ophthalmic surgery
- Chapter 12 Anaesthetic considerations in the elderly
- Chapter 13 Anaesthesia for paediatric ophthalmic surgery
- Chapter 14 Anaesthesia for glaucoma surgery
- Chapter 15 Anaesthesia for vitreoretinal surgery
- Chapter 16 Anaesthesia for adult strabismus surgery
- Chapter 17 Anaesthesia for adult corneal transplant surgery
- Chapter 18 Anaesthesia for tumour surgery
- Chapter 19 Anaesthesia for ocular trauma
- Chapter 20 Retained visual sensations during ophthalmic surgery under regional anaesthesia
- Chapter 21 Complications of ophthalmic regional anaesthesia
- Chapter 22 Patient positioning for eye surgery
- Chapter 23 Postoperative management
- Chapter 24 Future developments
- Index
(p. 123) Ophthalmic topical anaesthesia
- Chapter:
- (p. 123) Ophthalmic topical anaesthesia
- Author(s):
Howard Palte
- DOI:
- 10.1093/med/9780199591398.003.0052
Introduction 124
Timeline 124
Mechanism of action 125
Indications 126
Relative contraindications 126
Topical anaesthesia techniques 128
Advantages 131
Disadvantages 132
Conclusion 134
Further reading 134
The growing appeal of topical anaesthesia in cataract surgery is due in part to its distinct advantages of simplicity, minimal pain on administration, absence of significant systemic complications and a rapid postoperative recovery. Alternative techniques aim to circumvent the potential for topical-induced corneal epithelial toxicity....
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- Preface
- Contributors
- Abbreviations
- Chapter 1 History of ophthalmic anaesthesia
- Chapter 2 Anatomic considerations
- Chapter 3 Ocular physiology relevant to ophthalmic anaesthesia
- Chapter 4 Pharmacology for ophthalmic local anaesthesia
- Chapter 5 Preoperative assessment and preparation
- Chapter 6 Needle-based orbital regional anaesthesia for adult ophthalmic surgery
- Chapter 7 Cannula-based sub-Tenon's block for adult ophthalmic surgery
- Chapter 8 Ophthalmic topical anaesthesia
- Chapter 9 Monitored sedation for ophthalmic surgery
- Chapter 10 Anaesthesia for oculoplastic surgical procedures
- Chapter 11 General anaesthesia for adult ophthalmic surgery
- Chapter 12 Anaesthetic considerations in the elderly
- Chapter 13 Anaesthesia for paediatric ophthalmic surgery
- Chapter 14 Anaesthesia for glaucoma surgery
- Chapter 15 Anaesthesia for vitreoretinal surgery
- Chapter 16 Anaesthesia for adult strabismus surgery
- Chapter 17 Anaesthesia for adult corneal transplant surgery
- Chapter 18 Anaesthesia for tumour surgery
- Chapter 19 Anaesthesia for ocular trauma
- Chapter 20 Retained visual sensations during ophthalmic surgery under regional anaesthesia
- Chapter 21 Complications of ophthalmic regional anaesthesia
- Chapter 22 Patient positioning for eye surgery
- Chapter 23 Postoperative management
- Chapter 24 Future developments
- Index