Evidence map›Paper›PMID 36436168›Full record

ReviewInternational ophthalmology2023

Anesthesia for ophthalmic surgery: an educational review.

Aidan Pucchio, Daiana R Pur, Anuradha Dhawan, Simrat K Sodhi, Austin Pereira, Netan Choudhry

Abstract readReview
PubMed Publisher
In one paragraph

Review in International ophthalmology, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed
4.7field-weighted citation impact, top 4% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

11 citing papers in PubMed, 25 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors at 4 institutions in 3 countries.

Aidan PucchioSchool of Medicine, Queen's University, Kingston, ON, Canada.ORCID http://orcid.org/0000-0001-8884-1338
Daiana R PurSchulich School of Medicine & Dentistry, Western University, London, ON, Canada.
Anuradha DhawanVitreous Retina Macula Specialists of Toronto, 3280 Bloor Street West, Suite 310, Toronto, ON, M8X3X3, Canada.
Simrat K SodhiSchool of Clinical Medicine, University of Cambridge, Cambridge, UK.
Austin PereiraDepartment of Ophthalmology and Visual Sciences, University of Toronto, Toronto, ON, Canada.
Netan ChoudhryVitreous Retina Macula Specialists of Toronto, 3280 Bloor Street West, Suite 310, Toronto, ON, M8X3X3, Canada. netan.choudhry@vrmto.com.
University of Toronto · CAQueen's University · CAUniversity of Cambridge · GBWestern University · CA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeSelecting an anesthetic agent for ophthalmic surgery has crucial implications for the surgeon, anesthesiologist, and patient. This educational review explores the common classes of anesthesia used in ophthalmology. Additionally, we discuss the considerations unique to cataract, glaucoma, strabismus, orbital, oculoplastic, and ocular trauma surgeries.

methodsA comprehensive Embase search was performed using combinations of the subject headings "anesthesia", "eye surgery", "ophthalmology" and "cataract extraction", "glaucoma", "strabismus", "vitreoretinal surgery", "retina surgery", "eye injury", and "eyelid reconstruction".

resultsTopical anesthetics are the most commonly used form of ocular anesthesia, used in both an office and surgical setting, and carry a minimal side effect profile. Notably, topical anesthetics offer analgesia, but do not provide akinesia or amnesia. Regional blocks, such as are sub-Tenon's, peribulbar, and retrobulbar blocks, are used when akinesia is required in addition to analgesia. Recently, sub-Tenon's blocks have recently gained popularity due to their improved safety profile compared to other regional blocks. General anesthesia is considered for long, complex surgery, surgery in patients with multiple comorbidities, surgery in young pediatric patients, or surgery in patients intolerant to local or regional anesthetic.

conclusionAnesthetizing the eye has rapidly evolved in recent years, supporting the safety, efficacy and comfort of ocular surgery. Since there are many viable options of anesthetics available for ophthalmic surgery, a robust understanding of the patients needs, the skill of the surgical team, and surgery-specific factors ought to be considered when creating an anesthetic plan for surgery.

Indexed as

CataractCataract ExtractionOphthalmologyStrabismusAnesthesia, LocalAnesthetics, LocalChildHumansAnesthetics, LocalAnesthesiaCataractGlaucoma surgeryOculoplastic surgeryOphthalmologyStrabismus surgery

Identifiers

PMID36436168
OpenAlexW4310276479

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.