A Comparative Study of Topical Versus Peribulbar Anaesthesia in Phacoemulsification Cataract Surgery and Implantation of Intraocular Lens
Journal Title: Journal of Clinical Research and Ophthalmology - Year 2015, Vol 2, Issue 3
Abstract
Introduction: This study was conducted for evaluating and comparing levels of patient discomfort during phacoemulsification and intraocular lens implantation under topical and peribulbar anesthesia and comparative assessment of intra-operative complications. Methods: It is a hospital based comparative study on patients who underwent phacoemulsification from January’2015 to March’2015. Patients were randomly distributed to peribulbar or topical anesthesia. Parameters like age, surgery duration, blood pressure, oxygen saturation and intra-operative pain were compared in two groups. Results: 51 patients underwent phacoemulsification under topical anesthesia and 49 patients underwent phacoemulsification under peribulbar anesthesia. No statistical differences were found in surgery duration, intra-operative complications, pain, blood pressure or Oxygen saturation (SPO2). Topical group did not require additional subconjunctival injection. 4/49 (8.16%) in peribulbar group required additional topical anesthesia. This was statistically significant (p=0.04). Anesthesia related complications were only seen in peribulbar group. Conclusion: Surgical complications and patient comfort did not differ in two groups. There is no significant difference in topical and peribulbar anesthesia with respect to intra-operative pain level and intra-operative complications. Also topical anesthesia is minimally invasive. In view of results obtained, study suggests usefulness of topical anesthesia as compared to peribulbar anesthesia for cataract surgeries.
Authors and Affiliations
Divya Vakharia, Suvarna K Gokhale
Keywords
Related Articles
- EP ID EP230880
- DOI 10.17352/2455-1414.000020
- Views 45
- Downloads 0
Relationship of Serum HbA1c and Fasting Serum Lipids with Central Macular Thickness in Patients with Type 2 Diabetes Mellitus
Background: Diabetic retinopathy, the most common retinal vascular disease, is the leading cause of new-blindness in adults during the third through sixth decades of life. Purpose: To determine the correlation between ce...
Neuropeptide Research in the Eye
The neuropeptide research in the eye is the main topic of our scientific group in Innsbruck. Most of the neuropeptides have been discovered more than 30 years ago and the presence and distribution of some of them has bee...
A rare case of bilateral acute retinal necrosis due to varicella zoster virus in a patient of Multiple myeloma
Acute retinal necrosis syndrome (ARN) is a well-defined entity with characteristic clinical picture of progressive intraretinal inflammation and necrosis and is caused by one of the members of the Herpes group of viruses...
Intravitreal Bevacizumab Injection Effect in Exudative Age Related Macular Degeneration
Exudative age-related macular degeneration is the most common cause of vision loss of people over the age 60 in the developed countries. The cause is not clear yet, but since Avastin is largely used for the treatment, th...
Evaluation of Retinal Nerve Fiber Layer Thickness using Spectral Domain-Optical Coherence Tomography in Glaucomatous, Ocular Hypertensive and Normal Eyes and its Correlation with Visual Fields
Objective: The aim of the study was to correlate the findings of peripapillary retinal nerve fiber layer (RNFL) thickness calculated with optical coherence tomography(OCT) with visual field changes in glaucomatous, ocula...