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• W2148357870 abstract "<h3>AIMS</h3> A prospective study was carried out in order to evaluate the efficacy and safety of peribulbar anaesthesia during keratoplasty and to describe surgical conditions. <h3>METHODS</h3> Of 137 consecutive keratoplasties, 100 (73%) were performed under peribulbar anaesthesia. Patients received a mean volume of 16.5 (SD 4) ml (range 9–22 ml) of a mixture of etidocaine, bupivacaine, and hyaluronidase. Ocular compression duration was at least 20 minutes and intraocular pressure (IOP) was measured with a Tonopen after injection, compression, and before trephination. Degree of akinesia, pain scoring, complications, and surgical conditions were studied. <h3>RESULTS</h3> Before trephination, IOP was 5.73 mm Hg below the preinjection value and was never above 21 mm Hg. Akinesia was complete in 80% of cases and 94% of patients found that surgery was painless. Two patients (2%) were very agitated during surgery. The last patient presented with an acute intraoperative suprachoroidal haemorrhage that did not result in a true expulsive haemorrhage despite an “open sky” situation. Surgical conditions were judged to be optimal by the patients in 92% of cases and by the surgeon in 98% of cases. <h3>CONCLUSION</h3> These results demonstrate that peribulbar anaesthesia offers excellent anaesthesia and akinesia during keratoplasty and may be recommended for this type of surgery." @default.
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• W2148357870 date "1999-01-01" @default.
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• W2148357870 title "Peribulbar anaesthesia during keratoplasty: a prospective study of 100 cases" @default.
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• W2148357870 doi "https://doi.org/10.1136/bjo.83.1.104" @default.
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