Assorted Ophthalmic Surgeries

Surgery	Considerations	Anaesthetic technique	Post-op. care
Strabismus	Often paediatric Oculocardiac reflex Neutral gaze req'd	GA Avoid sux. CO₂ control	Day case PONV++ Simple analgesia
Vitreoretinal	Stimulating surgery Often high axial length Long (2-3hr) surgery Surgical use of SF₆or C₃F₈	RA ± sedation (60%) or GA Avoid N₂O	Day case RA + simple analgesics
Dacryocystorhinostomy	Stimulating surgery Risk of post-nasal bleeding	Often GA Topical vasoconstrictors for nose Beware throat pack	Day case Simple analgesia
Oculoplastic	May require graft from other site	GA	Day case Simple + opioid analgesia
Glaucoma	Extremes of age May need pre-op. acetazolamide/mannitol	Loco-regional	Day case Simple analgesia
Corneal grafting	Extremes of age	GA or RA	Day case Simple analgesia
Enucleation	Typically for tumours	GA	Day case Simple + opioid analgesia
Evisceration	Typically for blind but painful eyes	GA	Day case Simple + opioid analgesia