Peribulbar versus general anesthesia for horizontal strabismus surgery

Arquivos Brasileiros de Oftalmologia

Keila Monteiro De Carvalho²  Tatiana Millán¹  Nilza Minguini¹  Tais Hitomi Wakamatsu¹ 

[1] ,Universidade Estadual de Campinas Faculdade de Ciências Médicas Departamento de Oftalmologia/OtorrinolaringologiaCampinas SP ,Brasil

关键词: Anesthesia;    local;    Strabismus;    Ophthalmologic surgical procedures;    Ocular motility disorders;    Anestesia local;    Estrabismo;    Procedimentos cirúrgicos oftalmológicos;    Transtornos da motilidade ocular;   

DOI  :  10.1590/S0004-27492008000300009

来源: SciELO

【 摘 要 】

PURPOSE: To compare the results of strabismus surgery under peribulbar and general anesthesia in cases of small and moderate angle of horizontal strabismus. METHODS: Medical records of eighty-four patients with small and moderate angle horizontal strabismus who underwent strabismus surgery were reviewed. Forty-two patients were submitted to the surgery under peribulbar anesthesia and forty-two under general anesthesia. The surgery was considered satisfactory when postoperative angle was 10 prism diopters or less. RESULTS: Surgery was satisfactory in all patients. Mann-Whitney test showed no difference in the preoperative angle of deviation (p=0.366) and in the postoperative results (p=0.800) between the two groups. Adjusting for the variables age and type of strabismus (esotropia and exotropia), ANCOVA (analysis of covariance) results showed no statistical difference (p=0.368). There were no complications due to surgery or anesthesia in either group. CONCLUSIONS: This study suggested that there was no difference between the postoperative results of strabismus surgery under peribulbar and general anesthesia in small and moderate angle of horizontal strabismus.

【 授权许可】

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