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In ophthalmic surgery, the choice of the method of anesthesia presents certain difficulties for both the anesthesiologist and the ophthalmologist. According to world statistics, the most frequently performed ophthalmic operations are performed in patients of the older age group who have concomitant chronic somatic diseases (diabetes mellitus, hypertension, atherosclerosis, etc.). It is advisable to use local anesthesia in the elderly, as well as in patients with severe co-morbidities or contraindications to general anesthesia. The review presents the characteristics of local anesthetics and the types of local anesthesia used in ophthalmic surgery (vesicular blockade, facial nerve blockade, retrobulbar anesthesia, peribulbar anesthesia, instillation or topical anesthesia). Also in the article, possible complications of these methods of regional anesthesia, their prevention and the principles of emergency care in case of their occurrence are described. Particular attention in the review is given to the toxicity of local anesthetics.

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About the authors

Victoria V. Myasnikova

The academician S.N. Fyodorov ISTC NRMC «Eye Microsurgery»; Kuban State Medical University

Email: vivlad7@mail.ru
Krasnodar Branch, 350012, Krasnodar, Russian Federation; 350012, Krasnodar, Russian Federation
Dr. Sci. Med., head of the department of anaesthesiology and reanimation the academician S.N. Fyodorov IRTC NRMC «Eye Microsurgery» of the Ministry of Public Health of the Russian Federation, Krasnodar Branch

S. N Sahnov

The academician S.N. Fyodorov ISTC NRMC «Eye Microsurgery»; Kuban State Medical University

Krasnodar Branch, 350012, Krasnodar, Russian Federation; 350012, Krasnodar, Russian Federation

A. O Martsinkevich

The academician S.N. Fyodorov ISTC NRMC «Eye Microsurgery»

Krasnodar Branch, 350012, Krasnodar, Russian Federation

M. V Golovataya

The academician S.N. Fyodorov ISTC NRMC «Eye Microsurgery»

Krasnodar Branch, 350012, Krasnodar, Russian Federation


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