OCULAR ANESTHESIA FOR VITREORETINAL SURGERY
THE TRANSCARUNCULAR DOUBLE INJECTION TECHNIQUE FOR PERIBULBAR ANESTHESIA IN VITREORETINAL SURGERY
In this short article, we summarize the key points of this technique. It is important to mention that we do not overstep or avoid the copyright of the authors; we are only providing our personal experience with this technique.
Pearls:
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Enhanced Pain Management: Consider adopting this technique for peribulbar anesthesia in vitreoretinal surgery to achieve superior pain control during the procedure. Compared to the standard peribulbar and retrobulbar block, I have seen less pain during and after the procedure, especially in the first 24 hours postoperatively.
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Improved Akinesia: This technique offers better akinesia levels with quicker onset and longer duration, potentially facilitating smoother surgical maneuvers and outcomes.
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Safety Profile: This technique is a safe and effective alternative to standard peribulbar and subtenon injections, with no reported adverse events in the study cohort.
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Consideration for Adoption: Evaluate the feasibility of incorporating this technique into clinical practice to enhance patient comfort and surgical efficiency during vitreoretinal procedures.
Additionally, clinicians interested in learning the Transcaruncular Double Injection Technique (TRS) for peribulbar anesthesia in vitreoretinal surgery can access a step-by-step instructional video at the following link:
[https://youtu.be/K5ARGb6NGsA?si=6-THa48OeA2K2zYR].
You can also find the video in the media section of eyesiteacademy.org.
References
1. Savastano A, Crincoli E, Gambini G, Savastano MC, Rizzo C, Rizzo S. TRANSCARUNCULAR DOUBLE INJECTION TECHNIQUE FOR PERIBULBAR ANESTHESIA IN VITREORETINAL SURGERY. Retina. 2023 Nov 1;43(11):2037-2041. doi: 10.1097/IAE.0000000000003364. PMID: 34907126.
