Examination under anesthesia: Preferred Practice

• Published in: Indian journal of ophthalmology Vol. 71; no. 11; pp. 3438 - 3445
• Main Authors: Dhillon, Hennaav Kaur, Agarkar, Sumita, Vijaya, Lingam, Bhende, Muna, Baskaran, Mani, Jaichandran, V V
• Format: Journal Article
• Language: English
• Published: India Medknow Publications and Media Pvt. Ltd 01.11.2023; Medknow Publications & Media Pvt. Ltd; Wolters Kluwer - Medknow; Wolters Kluwer Medknow Publications
• Subjects: Anesthesia; Care and treatment; Child; Complications and side effects; congenital cataract; congenital glaucoma; Cornea; Current Ophthalmology; cycloplegic refraction; Diagnosis; electrophysiological tests; examination under anesthesia; Glaucoma - diagnosis; Humans; Intraocular Pressure; Pediatric anesthesia; Pediatrics; Physical Examination; retinal dystrophies; Succinylcholine; Tonometry, Ocular; Vision disorders in children; India; cycloplegic refraction; examination under anesthesia; intraocular pressure; Congenital cataract; congenital glaucoma; retinal dystrophies; electrophysiological tests
• ISSN: 0301-4738; 1998-3689
• DOI: 10.4103/IJO.IJO_3259_22

Pediatric ocular examinations are often a challenge in the outpatient setting due to limited cooperation of the child. Hence an evaluation under anesthesia (EUA) or sedation is important for a holistic ophthalmic examination. It can be combined with short procedures, such as suture removal and corneal scrappings, both for diagnosis and for the management of several ophthalmic disorders. It can also be performed before planning a surgical intervention to record the baseline characters and formulate or refine a surgical plan. Every EUA must be used as a chance to perform a complete ophthalmic examination rather than perform a single task such as recording the intraocular pressure. This article aims to provide a protocol that can be followed for a complete EUA.