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RETROBULBAR INJECTION OF ANESTHETIC WITHIN THE MUSCULAR CONE: (CONE INJECTION)

RETROBULBAR INJECTION OF ANESTHETIC WITHIN THE MUSCULAR CONE: (CONE INJECTION) Abstract The cone injection discussed in this article is a retrobulbar injection made just posterior to the globe within the muscular cone. The technic of retrobulbar or orbital injection differs greatly, as does the actual location where the solution is injected. It seems desirable to be more specific in referring to orbital injections because very different results may be expected when the injection is within and when it is outside the muscular cone. About two months after cocaine was introduced by Koller,1 Knapp2 reported on the use of retrobulbar injection of cocaine hydrochloride to produce anesthesia for enucleation. However, this method of producing anesthesia of the globe did not meet with general approval, probably owing to the alarming toxic effects that followed the strong solutions of cocaine hydrochloride that were used. Some years later, Siegrist,3 Löwenstein,4 Seidel5 and others revived the use of retrobulbar References 1. Koller, C.: Ber. ü. d. Versamml. d. deutsch. ophth. Gesellsch. 16:60, 1884. 2. Knapp, H.: Arch. Ophth. 13:402, 1884. 3. Siegrist, A.: Klin. Monatsbl. f. Augenh. 45:106, 1907. 4. Löwenstein, A.: Klin. Monatsbl. f. Augenh. 46:592, 1908. 5. Seidel, E.: Klin. Monatsbl. f. Augenh. 49:329. 1911. 6. Whitnall, S. E.: The Anatomy of the Human Orbit and Accessory Organs of Vision , New York. Oxford University Press, 1921, p. 290, fig. 151. 7. Whitnall,6 p. 297. 8. Duke-Elder, W. S.: The Nature of the Intra-Ocular Fluids , London, George Pulman & Sons, Ltd., 1927. 9. Friedenwald, J. S.: Am. J. Ophth. 15:191, 1932. 10. Duverger, C.: L'anesthésie locale en ophthalmologie , Paris, Masson & Cie, 1920. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Ophthalmology American Medical Association

RETROBULBAR INJECTION OF ANESTHETIC WITHIN THE MUSCULAR CONE: (CONE INJECTION)

Archives of Ophthalmology , Volume 16 (3) – Sep 1, 1936

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Publisher
American Medical Association
Copyright
Copyright © 1936 American Medical Association. All Rights Reserved.
ISSN
0003-9950
eISSN
1538-3687
DOI
10.1001/archopht.1936.00840210168015
Publisher site
See Article on Publisher Site

Abstract

Abstract The cone injection discussed in this article is a retrobulbar injection made just posterior to the globe within the muscular cone. The technic of retrobulbar or orbital injection differs greatly, as does the actual location where the solution is injected. It seems desirable to be more specific in referring to orbital injections because very different results may be expected when the injection is within and when it is outside the muscular cone. About two months after cocaine was introduced by Koller,1 Knapp2 reported on the use of retrobulbar injection of cocaine hydrochloride to produce anesthesia for enucleation. However, this method of producing anesthesia of the globe did not meet with general approval, probably owing to the alarming toxic effects that followed the strong solutions of cocaine hydrochloride that were used. Some years later, Siegrist,3 Löwenstein,4 Seidel5 and others revived the use of retrobulbar References 1. Koller, C.: Ber. ü. d. Versamml. d. deutsch. ophth. Gesellsch. 16:60, 1884. 2. Knapp, H.: Arch. Ophth. 13:402, 1884. 3. Siegrist, A.: Klin. Monatsbl. f. Augenh. 45:106, 1907. 4. Löwenstein, A.: Klin. Monatsbl. f. Augenh. 46:592, 1908. 5. Seidel, E.: Klin. Monatsbl. f. Augenh. 49:329. 1911. 6. Whitnall, S. E.: The Anatomy of the Human Orbit and Accessory Organs of Vision , New York. Oxford University Press, 1921, p. 290, fig. 151. 7. Whitnall,6 p. 297. 8. Duke-Elder, W. S.: The Nature of the Intra-Ocular Fluids , London, George Pulman & Sons, Ltd., 1927. 9. Friedenwald, J. S.: Am. J. Ophth. 15:191, 1932. 10. Duverger, C.: L'anesthésie locale en ophthalmologie , Paris, Masson & Cie, 1920.

Journal

Archives of OphthalmologyAmerican Medical Association

Published: Sep 1, 1936

References

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