Sub‐Tenon's anesthesia for canine cataract surgery

• Published in: Veterinary ophthalmology Vol. 21; no. 6; pp. 601 - 611
• Main Authors: Bayley, Kellam D., Read, R. A.
• Format: Journal Article
• Language: English
• Published: England 01-11-2018
• Subjects: Anesthesia, Conduction - methods; Anesthesia, Conduction - veterinary; Animals; Bupivacaine - administration & dosage; canine cataract surgery; Cataract - veterinary; Dog Diseases - surgery; Dogs; Female; globe akinesia; Intraocular Pressure - drug effects; Lens Implantation, Intraocular - veterinary; Male; mydriasis; neuromuscular blockade; Neuromuscular Blockade - veterinary; Oculomotor Nerve - drug effects; Phacoemulsification - veterinary; Random Allocation; retrobulbar anesthesia; sub‐Tenon's anesthesia; Tenon Capsule - drug effects; canine cataract surgery; neuromuscular blockade; retrobulbar anesthesia; globe akinesia; mydriasis; sub-Tenon's anesthesia
• ISSN: 1463-5216; 1463-5224
• DOI: 10.1111/vop.12554

Objective
To test a sub‐Tenon's anesthesia technique in dogs as an alternative to systemic neuromuscular blockade to aid in canine cataract surgery under general anesthesia.
Procedures
A prospective controlled clinical study was performed involving 12 dogs undergoing bilateral cataract surgery under general anesthesia. One eye was randomly assigned to have phacoemulsification and prosthetic lens implantation performed with sub‐Tenon's anesthesia (STA), and the control eye had surgery performed with systemic neuromuscular blockade (NMB). Intraocular pressure (IOP) was measured immediately before and after STA administration. Globe position, globe rotation, pupillary dilation, and vitreal expansion were assessed for both STA and NMB eyes during surgery.
Results
Sub‐Tenon's anesthesia produced a globe position suitable for cataract surgery with the degree of vitreal expansion not significantly different to control NMB eyes. STA produced greater anterior globe displacement than NMB in all cases. STA had no significant effect on IOP.
Conclusion
Sub‐Tenon's anesthesia was an effective alternative to systemic neuromuscular blockade for canine cataract surgery and may be beneficial for surgical exposure in deep orbited breeds.