Immediate visual capability after cataract surgery: Topical versus retrobulbar anesthesia

Nielsen, Poul Erik

doi:10.1016/s0886-3350(13)80137-x

Cited by 43 publications

(22 citation statements)

References 6 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…29,30 Martini et al 12 showed that topical ropivacaine is safe in endothelial toxicity and seemed to be a good alternative to lidocaine, but could cause transient corneal oedema. None of our patients in the ropivacaine group displayed any kind of corneal oedema.…”

Section: Discussionmentioning

confidence: 99%

Comparative clinical trial of topical anaesthetic agents for cataract surgery with phacoemulsification: lidocaine 2% drops, levobupivacaine 0.75% drops, and ropivacaine 1% drops

Borazan

Karalezlı

Akova

et al. 2007

Eye

View full text Add to dashboard Cite

Purpose To assess the safety and efficacy of topical lidocaine, levobupivacaine, and ropivacaine in cataract surgery with phacoemulsification. Methods One hundred and five patients scheduled for cataract surgery with topical anaesthesia were randomly allocated into 3 groups of 35 patients each to receive eye drops of lidocaine 2%, levobupivacaine 0.75%, or ropivacaine 1% every 5 min starting 30 min before surgery. Patients graded their pain using a 0-10-point verbal pain score (VPS) at different stages of the procedure. The levels of patient and surgeon satisfaction, the duration of surgery, complications, and the need for supplemental anaesthesia were recorded. Results There was no significant difference in duration of surgery and demographic variables among the groups. At the intraoperative period, end of surgery, and postoperative first hour the mean VPS in the lidocaine group was significantly higher than the others (Po0.01), but no significant difference was found between the levobupivacaine and ropivacaine groups. At incision and 24 h after surgery, it was not significantly different among the groups. Surgeon and patient satisfaction scores were significantly better in the levobupivacaine and ropivacaine groups than in the lidocaine group (Po0.01).Conclusions Topical anaesthesia with levobupivacaine and ropivacaine were safe, feasible and more effective than lidocaine in cataract surgery. Levobupivacaine and ropivacaine provided sufficient and long-lasting analgesia without the need of supplemental anaesthesia for each patient.

show abstract

Section: Discussionmentioning

confidence: 99%

Comparative clinical trial of topical anaesthetic agents for cataract surgery with phacoemulsification: lidocaine 2% drops, levobupivacaine 0.75% drops, and ropivacaine 1% drops

Borazan

Karalezlı

Akova

et al. 2007

Eye

View full text Add to dashboard Cite

show abstract

“…In a series of surveys of members of the American Society of Cataract and Refractive Surgery, Leaming 1 showed that the percentage of respondents who reported topical anaesthesia as their primary method of anaesthesia increased from 0.2% in 1993 to 37% in 1998, 2 and 61% in 2003. 3 Topical anaesthesia has several advantages over regional anaesthesia: unlike injection anaesthetic techniques, there is rapid return of postoperative visual acuity, 4 no postoperative ptosis or diplopia, 4 and no risk of damage to the globe or orbital contents. [5][6][7] It is only in recent years that patients' intraoperative visual experience during cataract surgery using different forms of local (topical, peribulbar, retrobulbar, and sub-Tenon's) anaesthesia has been studied in detail.…”

Section: Introductionmentioning

confidence: 99%

Patients' expectation and experience of visual sensations during phacoemulsification under topical anaesthesia

Ang

Eong

Lee

et al. 2006

Eye

View full text Add to dashboard Cite

“…Topical anesthesia has additional benefits like not interfering with visual function, immediate visual recovery, absence of pain due to injection, unlimited ocular motility, and absence of an increase in orbital volume and resultant rise of IOP. 11 Various studies regard Mithal C, Agarwal A, Mithal N Cataract surgery under topical anesthesia Nepl J Ophthalmol 2012; 4 (7): 114-118 117 compairing the pain perception and patients' acceptability for anesthetic technique have been done and they concluded that the patients' satisfaction for anesthesia is comparable for topical versus other techniques. 12,13 Fichman (1996) has investigated the blood pressure, pulse rate, and respiration rate of patients during surgery under topical anesthesia and has found no major changes in these parameters.…”

Section: Discussionmentioning

confidence: 99%

Manual Small - Incision Cataract Surgery Using Ac Maintainer Under Lignocaine 2% Jelly and Intracameral Lidocaine

Verma¹

2015

jemds

View full text Add to dashboard Cite

HOW TO CITE THIS ARTICLE:Rahul Verma. "Manual small-incision cataract surgery using AC maintainer under lignocaine 2% jelly and intracameral lidocaine". Journal of Evolution of Medical and Dental Sciences 2015; Vol. 4, Issue 63, August 06; Page: 10967-10973, DOI: 10.14260/jemds/2015/1582 ABSTRACT: INTRODUCTION: Manual small incision cataract surgery (MSICS) is a very popular technique of cataract surgery in India. It's a surgery which is done and in short time and in a country like India with a huge back-log of cataract blindness this surgery is very useful. OBJECTIVE: To evaluate the outcome of manual small incision cataract surgery (MSICS) with AC mantainer under topical anesthesia with lignocaine 2% jelly and intracameral lignocaine. MATERIALS AND METHODS: This study was a prospective interventional case series. One hundred patients of senile cataract were operated by MSICS under topical anesthesia using lignocaine 2% jelly and intracameral 1% lignocaine. The patients and the single operating surgeon were given a questionnaire to evaluate their experience in terms of pain, surgical experience and complications. RESULTS: The mean pain score was 0.82(SD±0.97). 63 patients (63%) had a pain score of zero, that is, no pain. 37 patients (37 %) had a score of 3 or less, that is, mild to none pain. 95 surgeries were free of complications while 5 had complications but they were not related to anaesthesia. Surgeon's experience was favorable in terms of patient's cooperation, anterior chamber stability, difficulty, and complications. CONCLUSIONS: MSICS can be comfortably performed under topical anesthesia with lignocaine jelly and intracameral lignocaine, which makes the surgery patient-friendly, without compromising the outcome. KEYWORDS: Manual SICS, Topical anesthesia. INTRODUCTION:Cataract is the most common cause of curable blindness in India and worldwide. It is estimated that 3.8 million people develop blinding cataract every year in India as against 2.7 million cataract surgeries done every year. 1,2 Cataract extractions are one of the most cost-effective procedures of all surgical interventions in terms of quality of life restored. 3,4 The only treatment option for cataract is the surgical removal of the opaque lens and the implantation of an artificial lens. The most advanced and state of the art technique is phacoemulsification with the insertion of a foldable intraocular lens (IOL) through a less than 3mm self-sealing incision. The cost of the machine, consumables and the lack of trained phaco surgeons makes this procedure less feasible for highvolume surgery which is the need of India. The MSICS is the surgery of choice in such circumstances. 5 The MSICS has been conventionally performed under peribulbar or retro-bulbar anesthesia. However, there are some reports of the procedure being performed under sub-tenon and subconjunctival anesthesia. 6 (Gupta et al, 2005) have described a similar technique under topical anaesthesia. 7 We here describe use of topical anesthesia with lignocaine 2 % jelly intracamer...

show abstract

Immediate visual capability after cataract surgery: Topical versus retrobulbar anesthesia

Cited by 43 publications

References 6 publications

Comparative clinical trial of topical anaesthetic agents for cataract surgery with phacoemulsification: lidocaine 2% drops, levobupivacaine 0.75% drops, and ropivacaine 1% drops

Comparative clinical trial of topical anaesthetic agents for cataract surgery with phacoemulsification: lidocaine 2% drops, levobupivacaine 0.75% drops, and ropivacaine 1% drops

Patients' expectation and experience of visual sensations during phacoemulsification under topical anaesthesia

Manual Small - Incision Cataract Surgery Using Ac Maintainer Under Lignocaine 2% Jelly and Intracameral Lidocaine

Contact Info

Product

Resources

About