J Korean Ophthalmol Soc.  1988 Feb;29(1):183-187.

Effect of Peribulbar Anesthesia on Lid and Globe Akinesia

• Kang SM
• Kim MS
• Kim JH

Abstract

A new method so-called peribulbar anesthesia for the lid and the eyeball was clinically investigated to reduce the complication of the retrobulbar anesthesia and to simplify the technique. In twenty-eight cases of extracapsular cataract extraction with posterior chamber lens implantation, each 3.5ml of the 2% lidocaine without combination of hyaluronidase or any anesthetic agent was injected into upper portion and lower portion of the orbit. Akinetic effect for the lid began to appear at about 10 minutes after the injection and at 20 minutes, the effect was sufficient to operate. By 30 minutes the lid akinesia was sufficient to operate in 92.7% of twenty-eight cases. The effect lasted for 51 minutes. The globe akinesia began to appear at about 15 minutes after the injection and at 25 minutes the akinesia was sufficient to operate. By 30 minutes the globe akinesia was sufficient to operate in 78.6% of twenty-eight cases. The effect lasted for 71 minutes.

MeSH Terms

Anesthesia*
Cataract Extraction
Hyaluronoglucosaminidase
Lidocaine
Orbit
Hyaluronoglucosaminidase
Lidocaine