Visual-evoked potentials: assessment of retrobulbar and peribulbar anesthesia

To assess the effects of retrobulbar and peribulbar anesthesia on nerve function as detected by visual-evoked potentials (VEPs). University hospital in southern Brazil. In a prospective study, 7 patients had peribulbar anesthesia and 9 had retrobulbar anesthesia for extracapsular cataract extraction...

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Veröffentlicht in:Journal of cataract and refractive surgery 2000-10, Vol.26 (10), p.1529-1532
Hauptverfasser: Lavinsky, Jacó, Gus, Patrı́cia Ioschpe, Ehlers, João Arthur, Roehe, Daniela, Nora, Daniel Bocchese
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container_end_page 1532
container_issue 10
container_start_page 1529
container_title Journal of cataract and refractive surgery
container_volume 26
creator Lavinsky, Jacó
Gus, Patrı́cia Ioschpe
Ehlers, João Arthur
Roehe, Daniela
Nora, Daniel Bocchese
description To assess the effects of retrobulbar and peribulbar anesthesia on nerve function as detected by visual-evoked potentials (VEPs). University hospital in southern Brazil. In a prospective study, 7 patients had peribulbar anesthesia and 9 had retrobulbar anesthesia for extracapsular cataract extraction. Visual-evoked potentials with pattern reversal and flash stimulation were performed at least 1 month before and 1 month after surgery. Study participants did not have ocular pathology other than cataract. The Lens Classification System III was used to grade the opacities before surgery. No significant difference was found between preoperative and postoperative evaluations in VEP flash and pattern-reversal amplitude and latency in either group ( P > .05). Postoperative amplitude and latency was not significantly different between the peribulbar and retrobulbar groups. Two cases in the peribulbar group had altered wave morphology without clinical manifestation postoperatively. All patients had a final best spectacle-corrected visual acuity of 20/20. Block anesthetic procedures were safely used in cataract surgery, with no clinical sequelae to the optic nerve.
doi_str_mv 10.1016/S0886-3350(00)00447-8
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University hospital in southern Brazil. In a prospective study, 7 patients had peribulbar anesthesia and 9 had retrobulbar anesthesia for extracapsular cataract extraction. Visual-evoked potentials with pattern reversal and flash stimulation were performed at least 1 month before and 1 month after surgery. Study participants did not have ocular pathology other than cataract. The Lens Classification System III was used to grade the opacities before surgery. No significant difference was found between preoperative and postoperative evaluations in VEP flash and pattern-reversal amplitude and latency in either group ( P &gt; .05). Postoperative amplitude and latency was not significantly different between the peribulbar and retrobulbar groups. Two cases in the peribulbar group had altered wave morphology without clinical manifestation postoperatively. All patients had a final best spectacle-corrected visual acuity of 20/20. Block anesthetic procedures were safely used in cataract surgery, with no clinical sequelae to the optic nerve.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia, Local - methods</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthetics, Local - administration &amp; dosage</subject><subject>Biological and medical sciences</subject><subject>Bupivacaine - administration &amp; dosage</subject><subject>Cataract Extraction - methods</subject><subject>Drug Combinations</subject><subject>Evoked Potentials, Visual - physiology</subject><subject>Female</subject><subject>Humans</subject><subject>Injections</subject><subject>Lidocaine - administration &amp; dosage</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Optic Nerve - physiology</subject><subject>Orbit</subject><subject>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. 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Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetics, Local - administration &amp; dosage</topic><topic>Biological and medical sciences</topic><topic>Bupivacaine - administration &amp; dosage</topic><topic>Cataract Extraction - methods</topic><topic>Drug Combinations</topic><topic>Evoked Potentials, Visual - physiology</topic><topic>Female</topic><topic>Humans</topic><topic>Injections</topic><topic>Lidocaine - administration &amp; dosage</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Optic Nerve - physiology</topic><topic>Orbit</topic><topic>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. 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source MEDLINE; Elsevier ScienceDirect Journals Complete
subjects Aged
Aged, 80 and over
Anesthesia
Anesthesia depending on type of surgery
Anesthesia, Local - methods
Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy
Anesthetics, Local - administration & dosage
Biological and medical sciences
Bupivacaine - administration & dosage
Cataract Extraction - methods
Drug Combinations
Evoked Potentials, Visual - physiology
Female
Humans
Injections
Lidocaine - administration & dosage
Male
Medical sciences
Middle Aged
Optic Nerve - physiology
Orbit
Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics
Photic Stimulation
Prospective Studies
Visual Acuity
title Visual-evoked potentials: assessment of retrobulbar and peribulbar anesthesia
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