Abstract

MAQUEIRA ROQUE, Juana María  and  SIGLER VILLANUEVA, Aldo. Hypnoanesthesia in ophthalmological surgery. Rev Cubana Oftalmol [online]. 2001, vol.14, n.1. ISSN 0864-2176.

The case of a 51-year-old obese and hypertensive man, who suffered a trauma with a piece of bone in his right eye that produced a corneoscleral stab wound, hernia of the iris and traumatic partial cataract was reported. During the operation he had a severe anesthetic complication with respiratory arrest due to the impossibility of performing endotracheal intubation, since the patient had an extremely short neck of constitutional type and a hypertensive crisis, too. Once the patient recovered and only under the effects of sedation, it was possible to replace the herniated iris and to suture. After some days of evolution, he began to present flattening of the anterior chamber, intumescent cataract and ocular hypertension. It was decided to use hipnoanesthesia because of the high surgical risk of the patient. Extracapsular extraction of the crystalline lens, lavage with aspiration of capsular remains and suture were made with no transoperative accidents. The patient maintained a normal arterial pressure. No anesthetics or sedatives were used. On waking up from the hypnotic sleep the patient denied having had any pain. He also said that he felt fine and that he had a sensation of well-being. No difficulties were observed during the postoperative period. He was discharged at 72 hours. At present, his intraocular and arterial pressures are normal and he is in the process of being treated with laser due to a thin pupillary cyclitic membrane.

Keywords : CORNEA; EYE INJURIES; CATARACT EXTRACTION; HYPNOSIS, ANESTHETIC; ALTERNATIVE MEDICINE; SURGERY, PLASTIC.

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