TY - JOUR AU - Riaz, Sidrah AU - Khan, Muhammad Tariq AU - Ahmad, Munir AU - Butt, Nadeem Hafeez AU - Chaudhary, Shabana PY - 2020/05/04 Y2 - 2024/03/29 TI - Shifting Paradigm: From General Anesthesia to Local Anesthesia in Posterior Segment Surgeries: Doi: 10.36351/pjo.v36i3.1001 JF - Pakistan Journal of Ophthalmology JA - pak J Ophthalmol VL - 36 IS - 3 SE - Original Articles DO - 10.36351/pjo.v36i3.1001 UR - https://www.pjo.org.pk/index.php/pjo/article/view/1001 SP - AB - <p>Purpose: To evaluate the methods of anesthesia in posterior segment surgeries.<br>Study Design: Cross sectional survey.<br>Place and Duration of Study: Akhtar Saeed Medical College, from April 2017 to May 2019.<br>Material and Methods: Two hundred and three patients who underwent posterior segment surgeries were<br>selected. Average surgery time was 45 minutes under local anesthesia (LA). All patients whose surgery was performed in general anesthesia (GA), had at least 6 hours hospital stay and<br>four hours nothing by mouth before and after procedure.&nbsp;Patient age, gender, indication for surgery, type of surgery performed and type of anesthesia were noted. Data<br>was analyzed by using SPSS 25.<br>Results: Total 203 patients were included in study, 122 (60.1%) male and 81 (39.9%) females. General<br>anesthesia (GA) was used in 18.2% surgeries and local anesthesia (LA) was opted in 81.8%. Mean age of<br>patients who underwent GA was 30.62 years and 51.71 years for LA. Three major indications for LA were retinal<br>attachment surgery 64 (38.6%), vitreous hemorrhage 20 (12%) and endophthalmitis in 12 (7.2%) patients.<br>Indications for surgery under GA were surgery for retinal detachment in 23 (62.2%), endophthalmitis 6 (16.2%)<br>and removal of silicon oil 2 (5.4%). PPV was done in 64.5% patients under LA and 9.8% in GA but all combined<br>procedures (PPV and scleral buckling) were done under GA.<br>Conclusion: The local anesthesia is favorable for posterior segment ocular surgeries in term of less hospital<br>stay, no need of NPO, fast recovery and cost effectiveness</p> ER -