Local Anesthesia Effective for Oculofacial Surgery

Local anesthesia is safe and effective for oculofacial surgery, according to an OSN Supersite report.

Anesthesia for eyelid and periocular surgery necessitates safety to the eye, optic nerve and other vital structures, according to the report. Anesthesiologists often prefer regional techniques — either alone or in combination with intravenous agents — for oculofacial surgery because they reduce the inherent risks of general anesthesia.

The report found that a spectrum of topical and injectable anesthetic agents can be used in eyelid and periocular surgery. Most local anesthetics have a lipophilic group attached to an ionizable group via an intermediate, which is an ester or an amide. Ester types include lidocaine and bupivacaine, whereas amides include procaine and cocaine. Local anesthetics all create a local nerve block by reducing the influx of sodium ions into the cytoplasm of nerve cells.

Local anesthetics can be administered topically or through injection for oculofacial surgery.

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