The Patient for Outpatient Cataract Surgery
A 73-year-old retired farmer with hypertension and diabetes mellitus was admitted to the outpatient department for surgical treatment of cataract disease. His medications on admission included chlorpropamide 250 mg daily and hydrochlorothiazide 50 mg b.i.d. Before admission his ophthalmologic assessment showed a visual acuity of 20/80 in his right eye.
Admission blood work included hematocrit 45% and fasting blood sugar 145 mg/dl. Other chemical analyses (serum electrolytes) were normal. This patient had been seen by an internist in the preoperative assessment clinic one week before admission, at which time his ECG and chest x-ray were normal. There were no other significant abnormalities. The patient was scheduled for elective right cataract extraction and intraocular lens implantation. Regional anesthesia was requested by the ophthalmologist.
KeywordsRegional Anesthesia Cataract Extraction Lens Fiber Intraocular Lens Implantation Retrobulbar Anesthesia
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- 1.Dorland’s Illustrated Medical Dictionary, 25th ed. Philadelphia: WB Saunders, 1974.Google Scholar
- 3.Kline D, Sekuler R, Dismukes K: Social issues, human needs, and opportunities for research on the effects of age on vision: an overview, in Sekuler R, Kline D, Dismukes K (eds): Aging and Human Visual function. New York: Alan R. Liss, 1982; pp. 3–6.Google Scholar
- 5.Cotlier E: The lens, in Moses RA, Hart W Jr (eds): Adler’s Physiology of the Eye. Clinical Application, St. Louis: C. V. Mosby, 1987; pp. 268–90.Google Scholar
- 8.Petty JM, Davies JM, Strunin L: Retrobulbar block for cataract surgery: retrospective review of 910 patients. Anaesth Intens Care 1984; 13:95.Google Scholar
- 9.Muravchick S: the Physiologic and Pharmacologic Implications of Aging. 1986 ASA Annual Refresher Course Lectures, Las Vegas: no 275.Google Scholar