Topical Anesthesia in Pediatric Strabismus Surgery.

Kim, Seong Ju; Park, Yeoung Geol

Original Article

Journal of the Korean Ophthalmological Society 1998;39(2):400-405.
Published online February 1, 1998.

Topical Anesthesia in Pediatric Strabismus Surgery.

Seong Ju Kim, Yeoung Geol Park

Department of Ophthalmology, Chonnam University Medical School, Kwangju, Korea.

점안마취하 소아사시수술

김성주(Seong Ju Kim),박영걸(Yeong Gel Park)

Abstract

Children with mature visual functions can suffer from diplopia when overcorrection after strabismus surgery occurred. If the patients are willing to undergo the adjustment procedure under a topical anesthesia, we feel that it is also possible to perform the strabismus surgery in the same manner. We operated 58 strabismic children (male 37, female 21) aging from 6 to 14 under topical anesthesia using only 0.5% proparacaine (Alcaine). After bow tie suture around end of the surgery, patients were assisted in sitting upright on the operating table, asked to fixate on a 20/40 accomodative target. Subsequently, we adjusted ocular alignment to nearly orthophoria. The overall success rate was 67.2% (39/58) ; horizontal strabismus with fusion potential (74.4%) was more successful than horizontal and/or vertical combined strabismus without fusion potential (52.6%) and one muscle surgery in horizontal strabismus regardless of fusion potential (36.4%). In conclusion, this study revealed that strabismus surgery under topical anesthesia had many advantages including day surgery, decreased complications and decreased the number of surgery.

Key Words: Strabismic children;Topical anesthesia