文章基本信息

标题：Comparison of Peribulbaranaesthesia versus Topical anesthesia in Manual Small Incision Cataract Surgery
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作者：Somnath Choudhury ; Jayanta Dutta ; Ashis Majumdar 等
期刊名称：International Journal of Advances in Engineering and Management
电子版ISSN：2395-5252
出版年度：2020
卷号：2
期号：9
页码：77-82
DOI：10.35629/5252-020994103
语种：English
出版社：IJAEM JOURNAL
摘要：Purpose: To compare safety and efficacy of peribulbar anesthesia with topical anesthesia with 0.5% of proparacaine eye drops in routine uncomplicated manual small incision cataract surgery (MSICS) Method: 200 eyes of 200 patients were allocated to peribulbar (series-I) and topical (series-II) groups based on preset criteria after proper informed consent. All surgeries were performed by two surgeons. Neither intracameral anesthesia nor any kind of oral or intravenous sedation was used. Outcome measure: Pain and discomfort during surgery and up to 6 hours after surgery experienced by the patient was graded and compared for both techniques. The surgeons also scored for surgical ease/discomfort in terms of unwanted ocular movements, patient cooperation and anterior chamber stability, time taken for surgery. Both patient and doctor were given a preset oral questionnaire for the assessment. Results: All the surgeries except two in group II and one in group I were complication free in terms of posterior capsular rent. The difference in complication rate was not statistically significant. The duration of surgery was similar in both groups (10±5 minutes). Pain during administration of anesthesia was significantly more in group I than group II, Intraoperative and postoperative pain were more in group II (mean pain score=1.88) than in group I (mean pain score=1.83). However, the difference was not statistically significant. When inquired about choice of anesthesia for another similar operation in group II, patients (86%) preferred similar anaesthesia especially due to early visual recovery (average of 15±10 minutes) and to avoid periocular injection. Conclusion: MSICS under Topical anesthesia is safe, patient friendly and as effective as Peribulbar Anesthesia.
关键词：Topical anesthesia;proparacaine eye drop;cataract surgery