Abstract
ABSTRACT Purpose To evaluate the current practices in anesthesia for vitreoretinal surgery in a variety of practice locations and types. Design Cross-Sectional Survey Based Study Participants 2,638 retinal specialists from academic and private practices. Methods Participants were questioned in detail regarding their preferences for topical, regional, or general anesthesia for a variety of case types. Main Outcome Measures Utilization of local or general anesthesia, providers of anesthesia, and selection of anesthesia for vitreoretinal procedures and open globe injuries. Results The cumulative response rate was 23% (597/2,638). Of the 556 respondents who regularly perform surgery, regional anesthesia was more commonly administered by ophthalmologists than anesthesiologists. Intraconal anesthesia was used in 319/555 (57%) of cases and was more commonly used in the United States (US) than non-US where extraconal and sub-Tenon’s anesthesia were more common (p Conclusion Regional anesthesia with MAC is the most common method for vitreoretinal procedures, but GA is still a common option especially for scleral buckling and trauma.
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