ARVO 2015 Annual Meeting Abstracts 445 Oculoplastics Wednesday, May 06, 2015 11:00 AM–12:45 PM Exhibit Hall Poster Session Program #/Board # Range: 4733–4763/D0178–D0208 Organizing Section: Eye Movements / Strabismus / Amblyopia / Neuro-Ophthalmology Program Number: 4733 Poster Board Number: D0178 Presentation Time: 11:00 AM–12:45 PM Current Anesthetic Practices Among Oculoplastic Surgeons Anna Berry1, Jason Sokol1, Peter Timoney2. 1Ophthalmology, University of Kansas Medical Center, Prairie Village, KS; 2 Ophthalmology, University of Kentucky, Lexington, KY. Purpose: To evaluate the practice of and influencing factors on the choice of anesthesia for various orbital surgeries by Oculoplastic surgeons. Methods: An IRB exempt anonymous survey using REDCap electronic capture tools hosted at University of Kansas Medical Center was sent via email to the American Society of Ophthalmic Plastic & Reconstructive Surgery (ASPORS) members. The survey contained two parts for each surgical procedure: anesthetic preference and primary influencing factor. Demographics including number of years in practice and practice type were also collected. Responses were analyzed using standard statistical methods. Results: One hundred and eighteen ASOPRS members responded to the survey during a two-week period for a response rate of 23.6%. General anesthesia was the anesthetic method of choice for eight of the nine surgical procedures: enucleation (88.1%), evisceration (74.6%), external dacryocystorhinostomy (DCR) (54.2%), endoscopic DCR (55.1%), endoscopic brow lift (37.3%), external ethmoidectomy (49.2%), orbital floor decompression (95.8%), and lateral wall orbital decompression (94.1%). Monitored anesthesia care (MAC) was the anesthetic of choice for open brow lift (68.6%). “Current facility practices” was the primary factor for anesthetic choice with endoscopic DCR (30.0%), open brow lift (32.2%), and endoscopic brow lift (32.2%). “Fellowship training” was the primary choice with orbital floor decompression (45.8%) and lateral wall orbital decompression (44.9%). The category “other” was the primary factor for enucleation (50.9%), evisceration (50.9%), external DCR (42.4%) and external ethmoidectomy (20.3%). Patient comfort was the most frequent response for “other” for each surgical procedure. Conclusions: General anesthesia is the most common anesthetic method used but the underlying reasoning for the choice varied by surgical procedure. The most agreement by ASOPRS members on anesthetic choice was found, in descending order, for orbital floor decompression, lateral wall orbital decompression, enucleation, and evisceration.

Percentage of anesthetic choice per procedure. *Margin of Error Commercial Relationships: Anna Berry, None; Jason Sokol, None; Peter Timoney, None Program Number: 4734 Poster Board Number: D0179 Presentation Time: 11:00 AM–12:45 PM EVALUATION OF PREOPERATIVE ANXIETY IN PATIENTS UNDERGOING OCULOPLASTIC AND STRABISMUS SURGERY; A PROSPECTIVE STUDY Camille Bosc5, JOYCE MBEKEANI2, 3, franck jaspart1, HELENE DALENS5, Frederic Chiambaretta5, Hachemi Nezzar5, 4. 1CHU Clermont Ferrand, Clermont Frrand, France; 2Dept of Surgery,. North Bronx Health Network, Bronx, NY, New York, NY; 3Dept of Ophthalmology and Visual Science, Albert Einstein College of Medicine,, new York, NY; 4OPHTHALMOLOGY, KING FAISAL SPECIALIST HOSPITAL & RESEARCH CENTER, Riyadh, Saudi Arabia; 5ophtalmologie, CHU Clermont Ferrand, Clermont Ferrand, France. Purpose: Preoperative anxiety is well known to influence response to anesthesia and analgesic consumption The Amsterdam Preoperative Anxiety and Information Scale (APAIS) has been utilized in various surgical scenarios and found to have validity in evaluating preoperative anxiety. The purpose of this study is to evaluate the preoperative anxiety in adult patients undergoing oculoplastic and squint surgeries using the APAIS scale. To date no such study has been conducted Methods: We performed a prospective, non-randomized assessment of 55 patients. 30 were undergoing eyelid surgery under local anesthesia (LA) and 25 were undergoing squint surgery under general anesthesia (GA). All the patients were treated in similar conditions. Anxiety was evaluated pre-operatively by the French version of the APAIS. This scale is composed of 6 simple questions: 2 evaluate the anxiety regarding anesthesia, 2 concern anxiety about the surgery and 2 questions evaluate the need for information about the surgery and anesthesia. Each question is rated on a severity scale of 1 to 5. For each patient a global APAIS score, considering all parameters was calculated. Individual anesthesia, surgery and need for information APAIS scores were also calculated. The APAIS scores were collected and tabulated. The data was analyzed with nonparametric Mann Whitney U, ANOVA, Tukey’s and Bartlett’s tests. P