[Subtenon's infiltration anesthesia for intraocular surgery].
PURPOSE: To study the efficiency of Subtenon's anesthesia for intraocular surgery. METHODS: Subtenon's infiltration anesthesia was performed in the following ocular surgeries: Extracapsular cataract extraction combined with intraocular lens(IOL) implantation (14 eyes), cataract aspiration with IOL implantation(5 eyes), iridectomy(2 eyes), trabeculetomy(3 eyes), and removal of silicon band after scleral buckle for retinal detachment (1 eye). After superficial anesthesia with 0.5% Dicaine solution and incision of limbal conjunctira were performed, a 22 gauge blunt connected with a 5 ml syringe containing a mixture of 2% lidocain and 0.75% of Bupivacaine was introduced posteriorly along with the surface of the sclera towards both 10:00 and 2:00 o'clock direction, under Tehon's capsule at tabout 10-15 mm away from the limbus. A slow injection of 1.5-2.0 ml of the anesthesia was made at the equator of the globe. RESULTS: According to the standard made by Pang chenjiu, the efficiency of anesthesia was as follows: Grade I: 20 eyes(80%), Grade II: 4 eyes (16%), Grade III: 1 eye (4%). CONCLUSION: It is an effective, safe and simple anesthetic method for intraocular surgery especially for those with single eye, glaucoma eye in absolute stage and old patient with insufficient heart function.