A COMPARATIVE STUDY OF TOPICAL VERSUS PERIBULBAR ANESTHESIA IN MANUAL SMALL INCISION CATARACT SURGERY

Dr. Antariksh Mohta, Dr. Pradeep Dindore, Dr. Mahesh Dalvi, Dr. Milind Sabnis

Abstract


Aim: To compare topical anaesthesia with peribulbar anaesthesia in manual small incision cataract surgery
Materials & methods: 100 patients were take into study out of which 50 were given topical anaesthesia(group A) and 50
were given peribulbar anaesthesia (group B). Preoperative and intraoperative blood pressure, pulse were measured. Pain was assessed at the time
of giving anaesthesia in both groups using Wong Baker Faces Pain Rating Scale.
Results: There was no signicant difference in preoperative and intraoperative blood pressure and pulse between two groups. In Group B there
was signicant reduction in intraoperative pulse and systolic blood pressure as compared to preoperative. More number of patients suffered pain
in Group B as compared to Group A.
Conclusion: Cataract surgery can be safely performed with topical anaesthesia with minimal pain and suffering to patients and no complication
with good visual outcome


Keywords


Topical, Peribulbar, Anaesthesia, Topical Versus Peribulbar Anesthesia

Full Text:

PDF

References


Boyd BF (1975-1976) Personal interview between the editor and RC Troutman, D Paton, S Ryan. Present trends in incision closure of the cataract wound. Highlights Ophthalmol 14: 176–204.

Fichman RA (1993) The clear-corneal incision and astigmatism strategies. In: Fine IH, Fichman RA, Grabow HB, (eds), Clear-Corneal Cataract Surgery and Topical Anesthesia. Slack, Thorofare, NJ: 72-76.

Linebarger EJ, Hardten DR, Shah GK, Lindstrom RL (1999) Phacoemulsification and modern cataract surgery. SurvOphthalmol 44: 123- 147.

Malik A, Fletcher EC, Chong V, Dasan J (2010) Local anesthesia for cataract surgery. J Cataract Refract Surg 36: 133-152.

FICHMAN RA (2001) Use of topical anesthesia alone in cataract surgery. J Cataract Refract Surg 22: 612- 614.

Gills JP, Cherchio M, Raanan MG (1997) Unpreserved lidocaine to control discomfort during cataract surgery using topical anesthesia. J Cataract Refract Surg 23: 545-550.

Canavan KS, Dark A, Garrioch MA (2003) Sub-Tenon’s administration of local anaesthetic: a review of the technique. Br J Anaesth 90: 787-793.

Gray R, Lucas J (2002) “No needle” sub-Tenon’s anesthesia. Br J Ophthalmol 86: 831.

Greenbaum S (1997) Anesthesia in cataract Surgery. In: Greenbaum S (ed), Ocular Anesthesia. Saunders, Philadelphia, PA: 1-55.

Hansen EA, Mein CE, Mazzoli R (1990) Ocular anesthesia for cataract surgery: a direct sub-Tenon’s approach. Ophthalmic Surg 21: 696-699.

Claoue C, Lanigan C (1997) Topical anesthesia for cataract surgery. Aust N Z J Ophthalmol 25: 265–268.

Ezra DG, Allan BD (2007) Topical anaesthesia alone versus topical anaesthesia with intracameral lidocaine for phacoemulsification. Cochrane Database Syst Rev CD005276.

Kershner RM (1993) Topical anesthesia for small incision self-sealing cataract surgery. A prospective evaluation of the first 100 patients. J Cataract Refract Surg 19: 290–292.

Hamilton RC (1985) Brain stem anesthesia following retro bulbar blockade Aesthesiology 63: 688-690 and Hamilton RC, Gimbel HV. Regional anesthesia for 12000 cataract extraction and IOL Can J Anaesth.1988; 35:615-623.

Fichman RA (1992) Topical eye drops replace injection for anesthesia. Ocular Surgery News 1: 20-21.

Sauder G, Jonas JB (2003) Topical versus peribulbaranesthesia for cataract surgery. ActaOphthalmolScand 81: 596–599.

Said K, Hassan M, Qahtani FA (2003) A comparative study of topical versus peribulbaranesthesia in phacoemulsification and implantation of foldable intraocular lens in cataract surgery. IJOVS 2.

Zehetmayer M, Radax U, Skorpik C, Menapace R, Schemper M, et al. (1996) Topical versus peribulbaranesthesia in clear corneal cataract surgery. J Cataract Refract Surg 22: 480–484.

Bardocci A, Lofoco G, Perdicaro S, Ciucci F, Manna L (2003) “Lidocaine 2% gel versus lidocaine 4% unpreserved drops for topical anesthesia in cataract surgery: a randomized controlled trial. Ophthalmology 110: 144–149.

Soliman MM, Macky TA, Samir MK (2004) Comparative clinical trial of topical anesthetic agents in cataract surgery: lidocaine 2% gel, bupivacaine 0.5% drops, and benoxinate 0.4% drops. J Cataract Refract Surg 30: 1716–1720.


Refbacks

  • There are currently no refbacks.