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Are You Put to Sleep for Macular Hole Surgery?

Published in Eye Surgery Anesthesia 2 mins read

For macular hole surgery, you are generally not put completely to sleep, as the majority of these procedures are performed under local anesthetic. However, general anesthesia is still available as an option for patients who are nervous or prefer to be fully asleep during the operation.

Understanding Anesthesia Options for Macular Hole Surgery

The choice of anesthesia for macular hole surgery primarily depends on patient comfort and specific medical considerations. Surgical teams aim to provide the safest and most comfortable experience possible.

Local Anesthesia

Most macular hole surgeries today are performed using a local anesthetic. This means:

  • The area around your eye is numbed, so you won't feel any pain during the surgery.
  • You remain awake and aware throughout the procedure, though you might receive a mild sedative to help you relax.
  • This approach often allows the surgery to be performed as a day case, meaning you can typically go home on the same day.

General Anesthesia

General anesthesia is an alternative option for patients undergoing macular hole repair. This involves:

  • Being completely unconscious and unaware of the procedure.
  • It is often offered to patients who experience significant anxiety about being awake during surgery, or those who may have difficulty remaining still for the duration of the procedure.
  • If general anesthesia is chosen, it's crucial to follow pre-procedure instructions, which typically include not eating or drinking for at least 6 hours before the surgery.

The decision between local and general anesthesia will be discussed with you by your surgeon and anesthesiologist, ensuring the chosen method is best suited for your individual needs and medical history.