Posted: Tue Nov 20, 2007 11:39 am
Hooray!Odyssey wrote:I went for my follow-up and the dr. said he couldn't even see the abrasion anymore. Yay! One more day of drops and I'm done with this mess.
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Posted: Tue Nov 20, 2007 12:17 pm
Well, that is just one occasion when one might might need to stick a needle in someones eye when they are otherwise awake and conscious. There are others! Shall I discuss them in morbid detail...Beebs52 wrote:OMG. This whole discussion has my stomach sitting behind my butt, my buttcheeks scrinching in terror, my eyeballs dropping in pressure along with my blood, and just all around I want to run away and run some more. omgRexer25 wrote:OK, I got the heebie-jeebies now. Anyone else?tanstaafl2 wrote:
There are occasions when you do need to stick a needle into the eye. I have in fact stuck a needle into the eye while at the slit lamp. It is perhaps most typically done for a reason much different from uveitis. When a patient has an acute pressure spike in association with a central retinal artery occlusion you can reduce the pressure a bit by sticking a small gauge needle into the anterior chamber through the cornea and withdrawing a small amount of fluid. And because you can effectively anesthetize the cornea with drops it is nearly painless to the patient, unlike the sub tenons injection.
And I should add that in rare cases steroids can be injected into the eye for uveitis and not peribulbar. But it is much less common.
Posted: Wed Nov 21, 2007 9:55 am
When I had my cornea transplant I was given a pill to relax me while they injected a block around my eye. I came to midway through the surgery and was conversing with the Dr. and staff as they finished up.tanstaafl2 wrote: And because you can effectively anesthetize the cornea with drops it is nearly painless to the patient, unlike the sub tenons injection.
While I felt no "pain" I could tell they were working on my eye. It was really quite interesting as it proceeded
Posted: Wed Nov 21, 2007 1:09 pm
Yes, a common experience for most forms of eye surgery these days, including the most typical procedure, cataract extraction. Often my patients would get a little "milk of amnesia" via their IV so that wouldn't remember the retrobulbar injection and then wake up within a few minutes and be awake and relatively alert for the rest of the surgery.gotribego26 wrote:When I had my cornea transplant I was given a pill to relax me while they injected a block around my eye. I came to midway through the surgery and was conversing with the Dr. and staff as they finished up.tanstaafl2 wrote: And because you can effectively anesthetize the cornea with drops it is nearly painless to the patient, unlike the sub tenons injection.
While I felt no "pain" I could tell they were working on my eye. It was really quite interesting as it proceeded
Posted: Wed Nov 21, 2007 1:33 pm
I'm quite a fan of the milk of the amnesia. And I try to have a retrobulbar injection as often as possible. It keeps the pores clean.Yes, a common experience for most forms of eye surgery these days, including the most typical procedure, cataract extraction. Often my patients would get a little "milk of amnesia" via their IV so that wouldn't remember the retrobulbar injection and then wake up within a few minutes and be awake and relatively alert for the rest of the surgery.