Anesthesia for Ophthalmic Surgery

  • Elaine ChristiansenEmail author


Children may need general anesthesia for many eye procedures that would be performed awake in adults, such as an eye examination. Access to the airway may be limited during eye procedures, and the choice between a supraglottic airway and an endotracheal tube depends on the child’s age, size and other factors. Anesthesia affects the intraocular pressure and eye position, both of which may affect surgical outcome. The emesis rate is higher after strabismus surgery than after any other type of surgery, and there are a variety of methods to prevent it. Children with penetrating eye injury may require general anesthesia without adequate preoperative fasting, and various debated approaches to anesthesia are acceptable in this scenario. This chapter discusses anesthesia management for the more common eye procedures in children.


Oculocardiac reflex Anesthesia strabismus Postoperative nausea and vomiting Anesthesia for penetrating eye injury 

Further Reading

  1. James I. Anesthesia for paediatric eye surgery. Cont Educ Anaesth Crit Care Pain. 2008;8:5–10.CrossRefGoogle Scholar
  2. Rodgers A, Cox RG. Anesthetic management for pediatric strabismus surgery: continuing professional development. Can J Anesth. 2010;57:602–17.CrossRefGoogle Scholar
  3. Termuhlen J, et al. Does general anesthesia have a clinical impact on intraocular pressure in children? Pediatr Anesth. 2016;26:936–41.CrossRefGoogle Scholar
  4. Vachon CA, Warner DO, Bacon DR. Succinylcholine and the open globe: tracing the teaching. Anesthesiology. 2003;99:220–3.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2020

Authors and Affiliations

  1. 1.Department of Anaesthesia and Pain ManagementPerth Children’s HospitalNedlandsAustralia

Personalised recommendations