眼科手术表面麻醉剂应用专家共识OA
Expert consensus on the application of topical anesthetics in ophthalmic surgery
眼表面麻醉是将表面麻醉剂滴注在结膜囊内,暂时阻断眼表区域的感觉神经末梢传导,从而达到麻醉角膜和结膜的效果.目前,眼表面麻醉已成为日间眼科手术的主要麻醉方式.本专家共识系统阐述了眼表面麻醉的临床应用规范,常用表面麻醉剂的特性与选择原则.推荐表面麻醉适用的眼科手术类型,以及表面麻醉在眼科手术中的标准化操作流程,包括术前评估、给药方法、效果评价、并发症预防与处理措施等,并针对特殊人群提出用药建议.本共识旨在为眼科手术提供安全、有效的表面麻醉实施方案,促进表面麻醉剂在眼科手术中的合理应用.
Topical ocular anesthesia is conducted by the instillation of topical anesthetics into the conjunctival sac to temporarily block sensory nerve conduction in the ocular surface area,thereby anesthetizing the area of cornea and conjunctiva.Now,topical anesthesia has become main important anesthetic method for day-case ophthalmic surgery.This expert consensus systematically elaborates on the clinical applications of topical anesthesia,including the characteristics and selection principles of commonly used topical anesthetics.It also emphasizes the types of ophthalmic surgeries which are suitable for topical anesthesia and outlines the standardized operational procedures in ophthalmic surgery,including preoperative assessment,administration methods,and efficacy evaluation.It also details measures for the prevention and management of complications and provides medication recommendations for special populations.The aim is to offer a safe and effective implementation guideline for topical anesthesia,promoting the rational application of topical anesthetics in ophthalmic surgery.
海峡两岸医药卫生交流协会眼科学专业委员会手术室麻醉学组;甘小亮
医药卫生
眼科表面麻醉表面麻醉剂眼科手术专家共识
ophthalmic topical anesthesiatopical anestheticsophthalmic surgeryexpert consensus
《眼科学报》 2026 (2)
35-52,18
国家自然科学基金(82571387).This work was supported by the National Natural Science Foundation of China(82571387).
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