Since there are no pain receptors in the brain, there is no need for deeper anesthetic.
During the procedure, the patient will be asked to make various movements to assist in determining the location of the electrode.
In addition, the patient must remain awake in order to report any sensory changes during the surgery.
An anesthesiologist may be on hand during surgery to administer the local anesthetic.
Visual changes may indicate the probe is too close to this region.
Freezing the eyeball for surgery typically involves the use of a local anesthetic rather than actual freezing. An ophthalmic surgeon may apply a topical anesthetic to numb the surface of the eye, or inject a local anesthetic around the eye area to reduce sensation. In some cases, cooling techniques may be used to minimize damage to surrounding tissues, but the eye itself is not frozen in the traditional sense. The goal is to ensure patient comfort and safety during the procedure.
A topical analgesic used to relieve the pain of skin lesions or to numb skin for a superficial procedure. Lidocaine hydrochloride jelly, 2% is indicated for prevention and control of pain in procedures involving the male and female urethra, for topical treatment of painful urethritis, and as an anesthetic lubricant for endotracheal intubation (oral and nasal).
Doctors commonly use topical anesthetic eye drops to deaden the eye for various procedures. These drops typically contain agents like proparacaine or tetracaine, which temporarily numb the surface of the eye to minimize discomfort during examinations or treatments. The anesthetic effect allows for procedures such as foreign body removal or cataract surgery to be performed with less pain for the patient.
For both LASIK and PRK, the patient's eye is numbed with anesthetic drops. No injections are necessary. The patient is awake and relaxed during the procedure.
Electrical stimulation of the brain through the electrode can help determine exactly which structure is being stimulated.
Once the burr hole is made, the surgeon inserts a microelectrode probe, which is used to more precisely locate the GPi.
In order to precisely locate the GPi target, and to ensure the probe is precisely placed in the target, a "stereotactic frame" is used.
When the proper target is located, the electrode tip is briefly heated, carefully destroying the surrounding tissue to about the size of a pearl.