Evaluation of peribulbar anesthesia in encircling scleral buckle surgery and its XXXX course.

@entity1713 @entity1 @entity282 @entity158
BACKGROUND: Retrobulbar anesthesia is considered effective in ocular surgery but it can give rise to serious complications. We used peribulbar anesthesia with sub-Tenon's irrigation to perform encircling scleral buckling for @entity1713 , as it could reduce the complications caused by retrobulbar anesthesia. We also recorded the course of @entity158 for 72 hours after surgery. METHODS: Thirty @entity1 who were diagnosed with @entity1713 were treated with an encircling scleral buckle. The surgery was performed with peribulbar anesthesia with occasional sub-Tenon's irrigation. We evaluated the @entity1 's @entity158 with a visual analogue scale after surgery at 30 minutes, 1 hour, 2 hours, 4 hours, 6 hours, 12 hours, 24 hours, 48 hours, and 72 hours. RESULTS: In 24 cases (80%), the anesthesia was complete with the peribulbar block. Only 6 @entity1 (20%) needed sub-Tenon's irrigation and four of them felt no @entity158 after augmentation. Although all the surgical procedures proceeded without problem, two of the @entity1 felt @entity158 and were uncomfortable during the surgery. No serious complications occurred. The course of @entity158 peaked 6 hours after surgery when 26 @entity1 (86.7%) felt @entity158 and 12 @entity1 (40%) were uncomfortable ( @entity158 score > or = 5). Forty-eight hours after surgery, 9 @entity1 (30%) still felt @entity158 but no one felt uncomfortable. CONCLUSION: Peribulbar anesthesia can be used safely in encircling scleral buckling for @entity1713 . The @entity282 is maximal 6 hours after surgery and becomes mild ( @entity158 score < or = 4) after 48 hours.
