Anesthesia for Eye Surgery

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Anesthesia for Eye Surgery Having a surgery can be stressful. We would like to provide you the following information to help you prepare for your eye surgery. Eye surgeries are typically done under topical or local anesthesia with or without mild sedation. Topical Anesthesia This is administered via special eye drops by a preoperative nurse. Local Anesthesia This is administered via injection by an ophthalmologist. Your ophthalmologist will inject local anesthesia to the eye that is to undergo the operation. During the injection, you will be lightly sedated. In the operating room During the procedure it is very important that you remain still. This is a very delicate surgery; any abrupt movement can hinder a surgeon’s performance. If you have any concerns during the surgery, such as pain, urge to cough or itching, please let us know immediately. Typically, patients are not heavily sedated for this type of procedure. Therefore, it is normal for patients to feel pressure around their eyes, but not pain. In order to maintain surgical sterility, your face and body will be covered with a sterile drape. You will be given supplemental oxygen to breathe. An anesthesia clinician will continue to monitor your vital signs for the duration of the procedure. The length of the procedure usually ranges from 10 minutes to 30 minutes. In the recovery room After surgery, you will be brought to the recovery room. A recovery room nurse will continue to monitor your vital signs for the next 20 to 30 minutes. It is important that you do not drive or operate any machinery for the next 24 hours. Anesthesia for General Surgery .

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Table of Contents
Leadership Development Program Project Abstracts Table of Contents LDP XXII, CLASS OF 2020 GRADUATES Name/Society/Project Page John J. Chen, MD, PhD 1 North American Neuro-Ophthalmology Society Project: The Neuro-Ophthalmology career path: misconceptions and barriers to recruitment Jeremy D. Clark, MD 2 Kentucky Academy of Eye Physicians and Surgeons Project: The Web of Innovation: Silent Auction Benefitting Political Action funds in Kentucky Gennifer J. Greebel, MD 3 New York State Ophthalmological Society Project: Inspiring Professional Aspirations in Adolescents with Low Vision Mark A. Greiner, MD 4 Eye Bank Association of America Project: Revisiting Eye Banking Medical Standards To Accommodate Emerging Technologies Jennifer F. Jordan, MD 5 North Carolina Society of Eye Physicians and Surgeons Project: Advocacy Exposure for North Carolina Ophthalmologists in Training Kapil G. Kapoor, MD 6 Virginia Society of Eye Physicians and Surgeons Project: Unwrapping Virginia Bill 506B Erin Lichtenstein, MD 7 Maine Society of Eye Physicians and Surgeons Project: Bringing Ophthalmology Residents to Maine Jennifer L. Lindsey, MD 8 Association of Veterans Affairs Ophthalmologists Project: Illuminating the Path to Advocacy for Veterans Affairs Ophthalmologists Donald A. Morris, DO 9 American Osteopathic College of Ophthalmology Project: Single Accreditation of Ophthalmology residencies is here. What is the next step? Lisa Nijm, MD, JD 10 Women in Ophthalmology Project: Implementing a Clinical Trials Training Program to Increase Diversity of Primary Investigators Involved in Ophthalmic Research LDP XXII, CLASS OF 2020 GRADUATES (cont’d) Name/Society/Project Page Roma P. Patel, MD, MBA 11 California Academy of Eye Physicians and Surgeons Project: Increasing Membership Value to our CAEPS Members Jelena Potic, MD, PhD 12 European Society of Ophthalmology Project: Harmonization of Surgical Skills Standards for Young Ophthalmologists across Europe Pradeep Y.
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Laser Vision Correction Surgery
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Root Eye Dictionary a "Layman's Explanation" of the Eye and Common Eye Problems
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Cme Reviewarticle
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Wills Eye Manual 3Ed.Pdb
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Project Index
Project Index Alphabetical by Program Participant Participant/Society Section Page Project Name Thomas M. Aaberg Jr., MD LDP IX, Class 1 Community Ophthalmology Call Systems Retina Society of 2007 Ari Daniel Abel, MD LDP IX, Class 2 Securing Surgical Privileges in the Private Delaware Academy of Ophthalmology of 2007 Practice Setting Nisha Acharya, MD, MS LDP XV, 1 Information Sheets on Immunomodulatory American Uveitis Society Class of 2013 Therapies for Patients with Uveitis Marie D. Acierno, MD LDP XVIII, 1 Work in Ophthalmic/Medical Practices for North American Neuro-Ophthalmology Society Class of 2016 Visually Impaired (WOMP VI) Project: (NANOS) Empowering Independence in the Visually Impaired Kenneth P. Adams, JD, DO LDP XVI, 1 New Mexico Academy of Ophthalmology New Mexico Academy of Ophthalmology Class of 2014 Legislative Engagement Wesley H. Adams, MD LDP XV, 2 Working with Commercial Entities to Raise Montana Academy of Ophthalmology Class of 2013 Public Awareness and Promote Ocular Safety Natalie A. Afshari, MD LDP XIV, 1 Developing an International Ocular Ocular Microbiology & Immunology Group Class of 2012 Microbiology Registry Lama A. Al-Aswad, MD LDP XV, 3 National and International Women in Women in Ophthalmology Class of 2013 Ophthalmology Meeting Chris Albanis, MD LDP XI, Class 1 Encourage Enhanced Understanding and Illinois Association of Ophthalmology of 2009 Involvement of Young Ophthalmologists in Advocacy Arezo Amirikia, MD LDP IX, Class 3 Blindness Prevention and Services Month in Michigan Society of Eye Physicians
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POST OPERATIVE VISUAL LOSS DISCLOSURE Overview
Janik, Daniel, MD Post-Operative Visual Loss POSTOPERATIVEVISUALLOSS APreventableComplication? DISCLOSURE DanielJ.Janik,MD AssociateProfessor UniversityofColoradoDenver Ihavenocommercialorother conflictsofinterest EyeInjuryAssociatedwith Overview Anesthesia MoosDD,LindDM.JournalofPerianesthesiaNursing2006;21(5):332341 • Generalincidenceofeyeinjuries GildWM,PosnerKL,etal.Anesthesiology1992;76:2048 • Visualloss– incidence • Eyeinjuryaccountsfor38%ofanesthesiarelated • Typesofvisualloss malpracticeclaims • Riskfactors • Generalanesthesia83% • Strategiesforprevention • Monitoredanesthesiacare11% • Conductionblockade7% • ASArecommendations • Incidenceofcornealabrasion: Roth1996– 0.034%(nonophthalmicsurgery) Cucchiara1988– 0.17%(neurosurgical,mostlyprone) EyeInjuryAssociatedwith PostoperativeVisualLoss Anesthesia RothSetal,Anesthesiology1996;85:10207 GildWM,PosnerKL,etal.Anesthesiology1992;76:2048 LeeLA,PosnerKL,etal.RegAnesthPainMed2008;33:416422 • 60,965anestheticsfrom19881992 • 30%ofclaimswereforeyeinjuryassociatedwith movementduringeyesurgery • Nonocularsurgery Blindnesswasoutcomeinallcases • 34 Pa tien ts (0. 056%)w itheye in jury, 2 Medianpaymenthigh($90,000) patients(0.003%)withvisualloss • Ifyoudoeyeblocks: • Only21%ofallcaseshaddiscerniblecause Youwillhaveasignificantlyalteredriskprofilerelatedto permanenteyedamagefromeyeblockneedlesthanifyou onlyprovideMAC(48vs.3inclaimsstudy) CRASH 2013 Janik, Daniel, MD Post-Operative Visual Loss PostoperativeVisualLoss PostoperativeVisualLoss RothSetal,Anesthesiology1996;85:10207 WarnerME,Anesthesia&Analgesia2001;93:141721
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Popularity of Laser Eye Surgery Grows in BC
Docket: 1-5422 Initial: JN Customer: CMAJ 15422 January 27/98 CMAJ /Page 161 News and analysis appear optimistic that agreement will drigue, a spokesperson for the Feder- However, it said midwife-assisted be reached, the obstetricians have ation of GPs of Quebec, says it wants births should not take place more said that if a solution is not found by to encourage GPs to handle births. In than 30 minutes from a hospital. — Feb. 1, all low-risk deliveries will the short term, however, “I think it © Janice Hamilton have to be handled by GPs. Obstetri- would be difficult for GPs to deal cians will be involved only in provid- with the situation” if obstetricians in- Physician numbers ing essential and tertiary services for crease their pressure tactics. hold steady high-risk patients. Meanwhile, a government council Senikas says the insurance issue recently proposed that midwives be The number of physicians in Canada brought the plight of her specialty allowed to practise in hospitals, dropped by 48 — or less than 0.1% into focus in Quebec, where obste- birthing centres and private homes. — in 1996. Figures released by the tricians make $252 per vaginal deliv- ery — less than in any province ex- cept Newfoundland. She says an Popularity of laser eye surgery grows in BC obstetricians who handles an average of 120 deliveries a year has a take- Laser eye surgery is thriving to home pay of $20 per delivery. Many such an extent on the West Coast obstetricians outside the cities per- that a Vancouver ophthalmologist form even fewer deliveries, but their says British Columbia may be the insurance costs remain the same.
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