Effectiveness of local anaesthesia for external dacryocystorhinostomy.
Alan A McNab, Richard J Simmie
Clin Exp Ophthalmol | Published : 2002
PURPOSE: To establish the effectiveness, complications and patient acceptance of local anaesthesia (LA) with intra-venous sedation, for external dacryocystorhinostomy (DCR). METHODS: Data were prospectively collected over a 4-year period (1997-2000) on all patients undergoing external DCR under LA with intravenous sedation by one surgeon and one anaesthetist, using a standardized technique. RESULTS: Of 183 DCR procedures, 145 (76.5%) were performed using LA in 123 patients aged 24-84 years (median 64 years). Eleven simultaneous bilateral DCR procedures were performed under LA. Another 11 patients had a contralateral DCR at a later date. In only three DCR (2.1%) was supplementation of LA requ..View full abstract