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Topic Outline

Anesthesia for ophthalmic surgery presents unique anesthetic challenges and requirements (Table 48-1: Requirements for Ophthalmic Surgery) (McGoldrick KE, Gayer SI. Anesthesia for ophthalmologic surgery. In: Barash PG, Cullen BF, Stoelting RK, Cahalan MK, Ortega R, Stock MC, eds. Clinical Anesthesia. Philadelphia: Lippincott Williams & Wilkins; 2013:1373–1399). Patients undergoing ophthalmic surgery may represent extremes of age (macular degeneration is the leading cause of blindness in individuals older than 65 years of age) and coexisting medical diseases.


  1. Ocular Anatomy
  2. Ocular Physiology
  3. Effects of Anesthesia and Adjuvant Drugs on Intraocular Pressure
  4. Oculocardiac Reflex
  5. Anesthetic Ramifications of Ophthalmic Drugs
  6. Preoperative Evaluation
  7. Anesthesia Techniques
  8. Anesthetic Management of Specific Situations
  9. Principles of Laser Therapy
  10. Postoperative Ocular Complications