Local anetheia with intravenou edation for urgical repair of elected open globe injurie

PURPOE: To report factor aociated with the ue of local anetheia with intravenou edation (local anetheia/edation) rather than general anetheia for urgery for open globe injurie in adult reparable eye. DEIGN: Retropective, nonrandomized, comparative cae erie. METHOD: Medical record were reviewed of all patient with open globe injurie repaired at Bacom Palmer Eye Intitute between 1995 and 1999. “Adult reparable eye” (eye in patient ≥18 year of age, not treated with primary enucleation or eviceration, followed up ≥2 month) were included. REULT: In all, 220 eye of 218 patient met incluion criteria. General anetheia wa employed in 80 of 200 (36%) and local anetheia/edation in 140 of 220 (64%). Patient who had local anetheia/edation were ignificantly more likely to have an intraocular foreign body (31% v 14%; P = .010, chi-quare tet), better preenting viual acuity (1.8 logMAR [logarithm of the minimum angle of reolution] unit v 2.5 logMAR unit; P < .001, t tet), more anterior wound location (75% corneal/limbal v 65%; P = .003, chi-quare), horter wound length (6.3mm v 10.8mm; P < .001, t tet), and dehicence of previou urgical wound (26% v 12%; P = .021, chi-quare) and were ignificantly le likely to have an afferent pupillary defect (22% v 51%; P < .001, chi-quare). There wa no anetheia-related complication in either group. The local anetheia/edation group had a horter mean operating time than did the general anetheia group (78 minute v 117 minute; P < .001, t tet). The general anetheia group had a longer mean follow-up than the local anetheia/edation group (20.2 month v 13.9 month, repectively; P = .002, t tet). Change in viual acuity between the preenting and final examination wa imilar for open globe injurie repaired with general anetheia compared with local anetheia/edation (0.94 v 0.72 logMAR unit of viual acuity, repectively; P = .16, t tet). CONCLUION: Local anetheia/edation i a reaonable alternative to general anetheia for elected patient with open globe injurie.