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</p> Signup and view all the answers

    How do drugs used for local anesthesia act?

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

    What are the uses of topical anesthesia?

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

    When is general anesthesia preferred over local anesthesia?

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

    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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    Description

    Learn about ocular anesthesia, including its definition, types, and the mechanism of action for local anesthesia. Explore the pioneering use of cocaine as a topical anesthetic for eye surgery and the description of needle-based ophthalmic regional anesthesia.

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