A utilização da anestesia peribulbar inferior nas blefaroplastias

Introducao: A anestesia peribulbar para blefaroplastias inferiores foi utilizada com sucessoem pacientes selecionados nos ultimos 9 anos. Esta tecnica e amplamente utilizada nosprocedimentos oftalmologicos, porem ainda nao havia sido especificamente indicada paraas blefaroplastias. Metodos: Foram submetidos a blefaroplastias com bloqueio peribulbarinferior 788 pacientes com idade variando entre 36 e 77 anos, 623 (79%) eram mulheres e165 (21%) homens. Resultados: Nenhum dos pacientes tratados queixou-se de dor ou desconfortodurante ou apos a cirurgia. Quemose imediata (17 casos - 2,2%) apos a anestesiaperibulbar inferior, hematoma orbital (3 casos - 0,4%) e diplopia foram as complicacoesobservadas. Conclusoes: A anestesia peribulbar inferior para as blefaroplastias ofereceresultados surpreendentes. As cirurgias sao realizadas de forma indolor, permitindo aos pacientesum estado de relaxamento completo, proporcionando ao cirurgiao um procedimentode realizacao mais simples e confortavel. Background: The peribulbar anesthesia for inferior blepharoplasties was employed successfullyin selected patients over the last 9 years. This technique is largely accepted forophthalmologic procedures but yet not specifically employed for blepharoplasties. Methods:788 patients with ages ranging from 36 to 77 years old were submitted to inferior peribulbaranesthesia for blepharoplasty procedures, 623 (79%) were female and 165 (21%) were male.Results: None of our treated patients complained of pain or discomfort during or after thesurgical procedure. Immediate chemosis after inferior peribulbar anesthesia was observed in17 (2.2%) cases, orbital hematoma was observed in 3 cases (0.4%) and diplopya or a slightimaging distortion may occur after inferior peribulbar anesthesia, lasting a few hours. Conclusions:The inferior peribulbar anesthesia for blepharoplasties offers surprising results.The surgical procedures are performed pain-free, leaving the patients completely relaxed,allowing an easier surgical procedure.