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A new technique for delivering sub-Tenon's anaesthesia in ophthalmic surgery
  1. Sandip Amin1,
  2. Miriam Minihan2,
  3. Sarit Lesnik-Oberstein3,
  4. Caroline Carr4
  1. 1Department of Anaesthesia, Moorfields Eye Hospital, City Road, London EC1V 2PD, UK
  2. 2Department of Ophthalmology, St Thomas's Hospital, Lambeth Palace Road, London SE1 7EH, UK
  3. 3Department of Ophthalmology, Moorfields Eye Hospital, City Road, London EC1V 2PD, UK
  4. 4Department of Anaesthesia, Moorfields Eye Hospital, City Road, London EC1V 2PD, UK
  1. Correspondence to: Sandip Amin; Samin{at}talk21.com

https://doi.org/10.1136/bjo.86.1.119

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    Sub-Tenon's local anaesthesia has become an accepted technique for anterior and posterior segment eye surgery.1–5 It is a safe, quick, and effective method of local anaesthesia. However, it requires a certain amount of skill for dissection into the sub-Tenon's space. This dissection can lead to bleeding and chemosis.

    We describe a modification of the current technique of sub-Tenon's anaesthesia which aims to simplify the method of local anaesthetic delivery, avoid bleeding, and chemosis while maintaining effective anaesthesia.

    Case report

    Fifty consecutive patients undergoing anterior segment surgery scheduled for local anaesthesia were recruited …

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