Long-term endothelial cell loss after phacoemulsification: Peribulbar anesthesia versus intracameral lidocaine 1%

Heuermann, T.; Hartmann, Christian; Anders, Norbert

doi:10.1016/s0886-3350(01)01216-0

Cited by 39 publications

(24 citation statements)

References 22 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Nine studies that did not mention the surgical complication rate were excluded, leaving 15 studies in the final analysis (Table 1). [5][6][7][8][9][10][11][12][13][14][15][16][17][18][19] One study compared 3 groups: kinetic local anesthesia, akinetic local anesthesia, and kinetic local anesthesia with sedation; only the first 2 of these groups were included in our analysis. 13 …”

Section: Methodsmentioning

confidence: 99%

Posterior capsule rupture rate with akinetic and kinetic block anesthetic techniques

Lee

Foot

Eke

2013

Journal of Cataract and Refractive Surgery

View full text Add to dashboard Cite

A systematic literature search was performed to identify prospective randomized studies comparing akinetic (sub-Tenon, peribulbar, or retrobulbar) and kinetic (topical or topical and intracameral) local anesthesia for phacoemulsification surgery. Only studies that stated the rate of posterior capsule rupture or that stated without qualification that there were no intraoperative complications were included. Of the initial 3182 articles, 15 papers met the inclusion criteria. The number of eyes ranged between 26 and 282 per group (mean 95.4 eyes per group), with a total of 2862 eyes. Eleven articles mentioned posterior capsule rupture specifically; 4 stated that no intraoperative complications occurred. Eleven (0.74%) of 1494 eyes in the akinetic group and 11 (0.80%) of 1368 eyes in the kinetic group experienced posterior capsule rupture. The chi-square test confirmed the difference was not statistically significant (P = .84). This analysis indicates that there appears to be no clinically or statistically significant difference in the risk for posterior capsule rupture between akinetic and kinetic local anesthesia techniques.

show abstract

Section: Methodsmentioning

confidence: 99%

Posterior capsule rupture rate with akinetic and kinetic block anesthetic techniques

Lee

Foot

Eke

2013

Journal of Cataract and Refractive Surgery

View full text Add to dashboard Cite

show abstract

“…[28][29][30] By comparison, intracameral use of preservativefree lidocaine hydrochloride 1% appears to be safe for routine cataract surgery, provided it is immediately followed by cataract surgery (ie, phacoemulsification) in which most of the lidocaine 1% is washed out of the cornea and iris. [31][32][33] Sterilization/Detergents Any substance used in cleaning and sterilizing ophthalmic instruments may cause TASS ( Figure 5). Various enzymatic and nonenzymatic detergents are used in cleaning reusable ocular instruments between cases (eg, ultrasonic bath and cleaning detergents).…”

Section: Intraocular Anestheticsmentioning

confidence: 99%

Toxic anterior segment syndrome

Mamalis

Edelhauser²,

Dawson³

et al. 2006

Journal of Cataract and Refractive Surgery

269

192

View full text Add to dashboard Cite

Toxic anterior segment syndrome (TASS) is a sterile postoperative inflammatory reaction caused by a noninfectious substance that enters the anterior segment, resulting in toxic damage to intraocular tissues. The process typically starts 12 to 48 hours after cataract/anterior segment surgery, is limited to the anterior segment of the eye, is always Gram stain and culture negative, and usually improves with steroid treatment. The primary differential diagnosis is infectious endophthalmitis. Review of the literature indicates that possible causes of TASS include intraocular solutions with inappropriate chemical composition, concentration, pH, or osmolality; preservatives; denatured ophthalmic viscosurgical devices; enzymatic detergents; bacterial endotoxin; oxidized metal deposits and residues; and factors related to intraocular lenses such as residues from polishing or sterilizing compounds. An outbreak of TASS is an environmental and toxic control issue that requires complete analysis of all medications and fluids used during surgery, as well as complete review of operating room and sterilization protocols.

show abstract

“…Conversely, the use of preservative-free 1% lidocaine has proved to be safe during phacoemulsification cataract surgery as it rapidly gets diluted to less significant concentrations in the anterior chamber so is washed off the cornea and iris to non-toxic level during phacoemulsification (Heuermann et al, 2002).…”

Section: Intracamerular Anaestheticsmentioning

confidence: 99%

Toxic Anterior Segment Syndrome (TASS) and Prophylaxis Against Postoperative Endophthalmitis

Díez¹,

Jordano²,

Hita³

2013

Cataract Surgery

View full text Add to dashboard Cite

Long-term endothelial cell loss after phacoemulsification: Peribulbar anesthesia versus intracameral lidocaine 1%

Abstract: The long-term postoperative endothelial cell course showed that topical anesthesia combined with an intracameral injection of 0.15 cc unpreserved lidocaine 1% is a safe alternative to peribulbar anesthesia.

Cited by 39 publications

References 22 publications

Posterior capsule rupture rate with akinetic and kinetic block anesthetic techniques

Posterior capsule rupture rate with akinetic and kinetic block anesthetic techniques

Toxic anterior segment syndrome

Toxic Anterior Segment Syndrome (TASS) and Prophylaxis Against Postoperative Endophthalmitis

Contact Info

Product

Resources

About