| The Change of Severity of Epiblepharon after Induction of Total Intravenous Anesthesia without Muscle Relaxant. |
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Young Jin Kim, Dong Geun Kim, Geun Mu Lee, Se Hun Lim, Jae Wook Yang |
1Department of Ophthalmology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. eyeyang@inje.ac.kr
2Therapeutics Center for Ocular Neovascular Disease, Inje University Busan Paik Hospital, Busan, Korea.
3Department of Anesthesiology, Busan Paik Hospital, Inje University College of Medicine, Busan, Korea. |
| 근이완제를 사용하지 않은 완전정맥마취 시 덧눈꺼풀 정도의 변화 |
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김영진1,2⋅김동근1,2⋅이근무3⋅임세훈3⋅양재욱1,2 |
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인제대학교 의과대학 부산백병원 안과학교실1, 인제대학교 부산백병원 안신생혈관질환 치료기술 개발 센터2, 인제대학교 의과대학 부산백병원 마취통증의학과3 |
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Correspondence:
Jae Wook Yang |
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Received: 30 December 2015 • Revised: 23 February 2016 • Accepted: 21 March 2016 |
| Abstract |
PURPOSE
To investigate the changes of epiblepharon by evaluating the severity of epiblepharon before and after induction of general anesthesia (GA) with a muscle relaxant and total intravenous anesthesia (TIVA) without a muscle relaxant. METHODS: Thirteen pediatric patients (26 eyes) underwent surgery for epiblepharon under GA using a muscle relaxant and 19 pediatric patients (38 eyes) underwent surgery for epiblepharon under TIVA without a muscle relaxant. The severity of epiblepharon in each eye was scored according to skin-fold height (scored 1-4) and area of ciliocorneal touch (scored 1-3) while the patient was in the supine position before induction and after induction of GA. RESULTS: Skin-fold height scores and ciliocorneal touch area scores decreased after induction of GA with a muscle relaxant (skin-fold height score before GA: 2.42 ± 0.86, after GA: 1.87 ± 0.88 p-value < 0.001; ciliocorneal touch area score before GA: 2.05 ± 0.70, after GA: 1.61 ± 0.68, p-value < 0.001). In the TIVA group, skin-fold height scores and ciliocorenal touch area scores were not statistically different before and after GA (skin-fold height score before GA: 2.23 ± 1.18, after GA: 2.38 ± 1.10, p-value = 0.212; ciliocorneal touch area score before GA: 2.06 ± 0.74, after GA: 1.94 ± 0.80, p-value = 0.161). CONCLUSIONS: The change of epiblepharon severity was significantly reduced by induction of TIVA without a muscle relaxant and there was no recurrence of epiblepharon 3 months after surgery. When using TIVA without a muscle relaxant, the change of epiblepharon severity was reduced and thus, this method can help prevent its undercorrection. |
| Key Words:
Epiblepharon;Muscle relaxant;Total intravenous anesthesia |
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