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 61
- Downloads 0
Conjunctival Leaking Bleb after Cross-Linking using Ribofl avin and UVA: A Histopathological Study
Two conjunctival leaking blebs were excisioned to assess by histological methods the cellular effect after corneal cross-linking treatment. Sections were stained with hematoxylin-eosin and immunohistochemistry with the K...
Posterior Polar Hemispheric Choroidal Dystrophy
The term “posterior polar hemispheric choroidal dystrophy” was first used by Yannuzzi to describe the annular, hemispheric loss of retinal pigment epithelium and choriocapillaris [1]. Since then, there have been no furth...
Surgical Planning for Duane Retraction Syndrome
Introduction: Duane retraction syndrome (DRS) a type of relatively rare type of restrictive strabismus. Methods and results: Six cases of DRS comprising of all sub types and their outcome was discussed simultaneously exp...
Visual Impairment in Orbitofrontal and Sphenoidal Fibrous Dysplasia Associated with Sphenoid Sinus Mucocele
The orbitofrontal fibrous dysplasia is a rare, non-malignant disease that involves the development and thickening of craniofacial bones, causing facial asymmetry, visual, neurological and dental complications. Decreased...
Anterior Segment Characteristics of Keratoconus Eyes Using Scheimpflug-Placido Topography
Purpose: To assess anterior segment parameters of keratoconus (KC) eyes at different stages of the disease using Scheimpflug-placido topography (Sirius, CSO, Italy) in a sample of the southern Egyptian population. Method...