Clinical outcomes, surgeon and patient satisfaction following peribulbar versus topical anesthesia for phacoemulsification surgery and intraocular lens implantation- A comparative study
Journal Title: Indian Journal of Clinical and Experimental Ophthalmology - Year 2018, Vol 4, Issue 1
Abstract
Introduction Phacoemulsification technique for cataract using either peribulbar anesthesia PA or topical anesthesia TA has evolved in last decadenbsp Only few studies has compared between two anesthetic procedures for phacoemulsification We compared patient and surgeon satisfaction clinical outcome between two anesthetic proceduresMaterials and Methods The Study was conducted during February 2017 to July 2017 Patients after being randomly assigned to group PA and TA were underwent phacoemulsification Corneal condition postoperative complication at day 1 best corrected visual acuity at day 40 were compared Both patients and surgeons were asked questions on degree of analgesia and level of comfort respectively Data was analyzed using appropriate test of significanceResults 50 patients were taken into study in each group No significant difference was noted between two groups preoperatively Patients in PA group felt statistically significantly less pain compared to TA group chi2 1178 df 2 P 00027 Satisfaction of surgeons was more with PA than compared with TA Relative Risk149 95 CI 102217 On day 1 postoperative complications were greater in TA group 76 than compared to PA group 64Complications associated with anesthetic procedure were more in PA group than compared with TA groupConclusions Patientrsquos satisfaction was statistically significantly greater in PA group compared to TA group Surgeonrsquos satisfaction was also not different from patientrsquos satisfaction and found to be more with peribulbar block than compared to topical anesthesia Clinical outcome remains unaffected by either of anesthetic techniqueKeywords Peribulbar Anesthesia Phacoemulsification Topical Anesthesia
Authors and Affiliations
Eknath Biroba Shelke, Harshal Namdeorao Yerkade, Mahesh Prakashrao Sonepethkar, Pradip Bhikshukrao C
Keywords
Related Articles
- EP ID EP474176
- DOI 10.18231/2395-1451.2018.0006
- Views 71
- Downloads 0
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