Ocular Anesthesia: Types and Mechanism of Action

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Questions and Answers

What is the definition of anesthesia?

  • Reversible loss of feeling or sensation induced for surgery (correct)
  • Complete loss of consciousness during surgery
  • Temporary loss of pain sensation after surgery
  • Irreversible loss of feeling or sensation

Who first used cocaine as a topical anesthetic for eye surgery?

  • Hermann Jakob Knapp
  • Carl Koller (correct)
  • Dr. N. N. Nadzirah Binti Zakaria
  • None of the above

In which types of ocular surgeries is local anesthesia preferred?

  • Cataract surgery and glaucoma surgery only
  • Vitreo-retinal surgery only
  • Cataract surgery, glaucoma surgery, and refractive surgery among others (correct)
  • Minor extraocular plastic surgery and keratoplasty only

What are the advantages of using local anesthesia?

<p>Avoidance of drugs used in general anesthesia (D)</p> Signup and view all the answers

How do drugs used for local anesthesia act?

<p>By producing reversible block to nerve transmission (A)</p> Signup and view all the answers

What are the uses of topical anesthesia?

<p>Manipulation of superficial cornea and conjunctiva (A)</p> Signup and view all the answers

When is general anesthesia preferred over local anesthesia?

<p>In patients with anxiety and uncooperativeness (A)</p> Signup and view all the answers

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Study Notes

Anesthesia Definition and History

  • Anesthesia is a state of temporary induced loss of sensation or awareness
  • Cocaine was first used as a topical anesthetic for eye surgery by Carl Koller in 1884

Types of Anesthesia

  • Local anesthesia is preferred in ocular surgeries, such as cataract surgery, LASIK, and corneal transplantation

Advantages of Local Anesthesia

  • Reduces risk of respiratory and cardiac complications
  • Allows for faster recovery and discharge
  • Minimizes post-operative nausea and vomiting
  • Enables patients to recover quickly and have less pain

Mechanism of Action

  • Local anesthetics act by blocking the sodium channels in neural membranes, preventing the transmission of nerve impulses

Topical Anesthesia Uses

  • Used to numb the skin or mucous membranes before minor procedures
  • Relieves pain and discomfort in minor procedures, such as suturing, biopsies, and cosmetic procedures

General Anesthesia

  • Preferred over local anesthesia in complex or high-risk surgeries, such as open-heart surgery or neurosurgery
  • Also preferred for surgeries requiring muscle relaxation, such as abdominal or thoracic surgery

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