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 |
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container_issue | 10 |
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container_title | Journal of cataract and refractive surgery |
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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 |
format | Article |
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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 > .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><identifier>ISSN: 0886-3350</identifier><identifier>EISSN: 1873-4502</identifier><identifier>DOI: 10.1016/S0886-3350(00)00447-8</identifier><identifier>PMID: 11033402</identifier><identifier>CODEN: JCSUEV</identifier><language>eng</language><publisher>New York, NY: Elsevier Inc</publisher><subject>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</subject><ispartof>Journal of cataract and refractive surgery, 2000-10, Vol.26 (10), p.1529-1532</ispartof><rights>2000 ASCRS and ESCRS</rights><rights>2001 INIST-CNRS</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c389t-790c47116a4b9e479b2c4ea65bc8007d884e17152c1cc93be7fd7faa96e005ea3</citedby><cites>FETCH-LOGICAL-c389t-790c47116a4b9e479b2c4ea65bc8007d884e17152c1cc93be7fd7faa96e005ea3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktohtml>$$Uhttps://dx.doi.org/10.1016/S0886-3350(00)00447-8$$EHTML$$P50$$Gelsevier$$H</linktohtml><link.rule.ids>314,780,784,3548,27922,27923,45993</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=852443$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/11033402$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Lavinsky, Jacó</creatorcontrib><creatorcontrib>Gus, Patrı́cia Ioschpe</creatorcontrib><creatorcontrib>Ehlers, João Arthur</creatorcontrib><creatorcontrib>Roehe, Daniela</creatorcontrib><creatorcontrib>Nora, Daniel Bocchese</creatorcontrib><title>Visual-evoked potentials: assessment of retrobulbar and peribulbar anesthesia</title><title>Journal of cataract and refractive surgery</title><addtitle>J Cataract Refract Surg</addtitle><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.</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 & dosage</subject><subject>Biological and medical sciences</subject><subject>Bupivacaine - administration & 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 & 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. Investigation and treatment technics</subject><subject>Photic Stimulation</subject><subject>Prospective Studies</subject><subject>Visual Acuity</subject><issn>0886-3350</issn><issn>1873-4502</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqFkNtKxDAQhoMouh4eQSkIohfVSZM2qTci4gkULzzchjSdYrS7XTPtgm9v1l3WS2EgDHz_zORjbJ_DKQdenD2D1kUqRA7HACcAUqpUr7ER10qkModsnY1WyBbbJvqASGUi32RbnIMQErIRe3zzNNg2xVn3iXUy7Xqc9N62dJ5YIiQaxz7pmiRgH7pqaCsbEjuJJAa_apH6dyRvd9lGE7O4t3x32OvN9cvVXfrwdHt_dfmQOqHLPlUlOKk4L6ysSpSqrDIn0RZ55TSAqrWWyBXPM8edK0WFqqlVY21ZIECOVuywo8Xcaei-hrjdjD05bNt4SjeQUdn8dzqLYL4AXeiIAjZmGvzYhm_Dwcw9ml-PZi7JwLyiR6Nj7mC5YKjGWP-lluIicLgELDnbNsFOnKcVp_NMShGpiwWFUcbMYzDkPE4c1j6g603d-X8O-QFhZI9u</recordid><startdate>20001001</startdate><enddate>20001001</enddate><creator>Lavinsky, Jacó</creator><creator>Gus, Patrı́cia Ioschpe</creator><creator>Ehlers, João Arthur</creator><creator>Roehe, Daniela</creator><creator>Nora, Daniel Bocchese</creator><general>Elsevier Inc</general><general>Elsevier Science</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20001001</creationdate><title>Visual-evoked potentials: assessment of retrobulbar and peribulbar anesthesia</title><author>Lavinsky, Jacó ; Gus, Patrı́cia Ioschpe ; Ehlers, João Arthur ; Roehe, Daniela ; Nora, Daniel Bocchese</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c389t-790c47116a4b9e479b2c4ea65bc8007d884e17152c1cc93be7fd7faa96e005ea3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia, Local - methods</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetics, Local - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Bupivacaine - administration & 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 & 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. Investigation and treatment technics</topic><topic>Photic Stimulation</topic><topic>Prospective Studies</topic><topic>Visual Acuity</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Lavinsky, Jacó</creatorcontrib><creatorcontrib>Gus, Patrı́cia Ioschpe</creatorcontrib><creatorcontrib>Ehlers, João Arthur</creatorcontrib><creatorcontrib>Roehe, Daniela</creatorcontrib><creatorcontrib>Nora, Daniel Bocchese</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of cataract and refractive surgery</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Lavinsky, Jacó</au><au>Gus, Patrı́cia Ioschpe</au><au>Ehlers, João Arthur</au><au>Roehe, Daniela</au><au>Nora, Daniel Bocchese</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Visual-evoked potentials: assessment of retrobulbar and peribulbar anesthesia</atitle><jtitle>Journal of cataract and refractive surgery</jtitle><addtitle>J Cataract Refract Surg</addtitle><date>2000-10-01</date><risdate>2000</risdate><volume>26</volume><issue>10</issue><spage>1529</spage><epage>1532</epage><pages>1529-1532</pages><issn>0886-3350</issn><eissn>1873-4502</eissn><coden>JCSUEV</coden><abstract>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.</abstract><cop>New York, NY</cop><pub>Elsevier Inc</pub><pmid>11033402</pmid><doi>10.1016/S0886-3350(00)00447-8</doi><tpages>4</tpages></addata></record> |
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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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