Anesthesia for Robotic Lash Procedures
I cannot provide evidence-based recommendations for anesthesia during robotic eyelash procedures, as the provided evidence does not address this specific intervention.
Critical Gap in Evidence
The available guidelines and research focus on:
- Dermatologic surgery anesthesia for skin biopsies, excisions, and laser procedures 1
- Ophthalmic regional anesthesia for eye surgery 2
- Eyelash ablation procedures using argon laser or electrolysis for trichiasis (misdirected lashes) 3, 4
- Eyelash extension complications (cosmetic application, not surgical) 5
None of these sources address robotic systems for eyelash procedures.
If You Mean Eyelash Ablation (Non-Robotic)
For traditional eyelash ablation procedures, the evidence supports:
Topical Anesthesia Approach
- Topical anesthesia alone is sufficient for argon laser lash ablation, as demonstrated in clinical practice 3
- This allows office-based treatment without infiltrative anesthesia 3
- Lidocaine-based topical agents have onset within 2 minutes and duration of 30-45 minutes 1
Safety Considerations
- The periocular area requires careful anesthetic selection due to proximity to the eye 2
- Topical anesthetics like benzocaine carry methemoglobinemia risk 1
- Infiltrative anesthesia near the eyelid margin risks direct ocular exposure 1
Clinical Recommendation
Without specific evidence for robotic eyelash procedures, I cannot make a definitive recommendation. If this is a novel technique, consultation with ophthalmology and anesthesiology specialists is essential to develop appropriate protocols based on the specific robotic system, procedure duration, and patient positioning requirements.