To send content items to your account,
please confirm that you agree to abide by our usage policies.
If this is the first time you use this feature, you will be asked to authorise Cambridge Core to connect with your account.
Find out more about sending content to .
To send content items to your Kindle, first ensure firstname.lastname@example.org
is added to your Approved Personal Document E-mail List under your Personal Document Settings
on the Manage Your Content and Devices page of your Amazon account. Then enter the ‘name’ part
of your Kindle email address below.
Find out more about sending to your Kindle.
Note you can select to send to either the @free.kindle.com or @kindle.com variations.
‘@free.kindle.com’ emails are free but can only be sent to your device when it is connected to wi-fi.
‘@kindle.com’ emails can be delivered even when you are not connected to wi-fi, but note that service fees apply.
Martin Dauber, Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois,
Steven Roth, Department of Anesthesia and Critical Care, University of Chicago, Chicago, Illinois
Define the basic anatomic and physiologic concepts of ocular trauma.
Review the anesthetic implications of eye injuries, including blindness following major surgery.
Evaluate the use of succinylcholine in patients with open-globe injuries.
Trauma to the eyes and resulting blindness can have life-altering impact. This chapter will present the implications for the anesthesiologist of trauma to the eye. Ocular trauma and basic anatomic and physiologic concepts will be defined and the incidence of these potentially devastating injuries will be reviewed. Anesthetic implications, including the timing of surgery, anesthetic drug selection, and other perianesthetic concerns will be addressed. The use of succinylcholine in patients with open-globe injuries is a long-standing controversy that we will discuss. Blindness following major trauma and resuscitation has significant implications for physicians caring for trauma patients.
A standard terminology for eye injury that has been adopted in the United States and internationally is known as the Birmingham Eye Trauma Terminology (BETT; Figure 23.1). The entire globe is considered, and the BETT is unambiguous, consistent, and simple to use. The definitions it provides will be utilized in this chapter. The BETT system clearly defines all injuries and places each type of injury within a comprehensive system of the whole eyeball .
The eye wall is defined as the cornea and the sclera. A full-thickness wound of these layers is an “open-globe” injury, whereas a “closed-globe” injury does not involve a full-thickness wound (Figure 23.2, see also color plate after p. 294).
Email your librarian or administrator to recommend adding this to your organisation's collection.