Comparison of topical versus peribulbar anaesthesia for manual small incision cataract surgery with intraocular lens implantation

Joseph, B Ciolino; Thampi, Bindu; Antony, J; Bhaskaran, Jayaprasad; Raghavan, Remya

doi:10.18203/2320-6012.ijrms20163781

Cited by 2 publications

(1 citation statement)

References 11 publications

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“…Before the development of phacoemulsification more than 20 years ago [ 12 ], surgeons faced significant challenges in the removal of cataracts and the implanting of intraocular lenses. Without phacoemulsification technology, surgeons had to remove the entire lens and capsule during extraction, making the placement of an intraocular lens difficult [ 3 , 13 ]. The introduction of phacoemulsification represented a breakthrough in cataract surgery.…”

Section: Introductionmentioning

confidence: 99%

Long‐Term Outcomes of Phacoemulsification Surgeries at ECWA Eye Hospital: A Prospective Clinical Cohort Study

Atima,

Idakwo,

Komolafe

et al. 2024

Journal of Ophthalmology

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Background. Phacoemulsification has proven to be a breakthrough technique in cataract surgery. Its popularity has grown dramatically as procedures and equipment have advanced, improving both safety and efficiency. This study presents long‐term outcomes from phacoemulsification surgeries performed at the Evangelical Church Winning All (ECWA) Eye Hospital, a tertiary eye care center. Method. This prospective clinical cohort study followed standard practices for operations performed under local anesthesia. Ophthalmologists evaluated long‐term outcomes and predictors of improved visual acuity after phacoemulsification cataract surgery. The visual recovery of the patients over time was evaluated, and the factors that influence the gains in vision were identified. Results. A total of 177 patients were subjected to treatment at our facilities during the study period. There were 116 male and 61 female patients, which resulted to a male‐to‐female ratio of 1 : 0.53. The average age of the patients was 59.18 years with a standard deviation of 11.38 years. Of the 259 eyes treated, 249 eyes (96.1%) achieved a high success rate with visual acuity of 6/6 – 6/18. Ten (10) eyes (3.9%) had moderate acuity between <6/18 and 6/60. Follow‐up examinations over five years after phacoemulsification showed poor vision outcomes among old patients. The primary factor that affected improvement in visual acuity among patients was amblyopia, present in 30% of cases. Posterior capsular opacification and macular edema collectively accounted for 20% of poor vision cases, while optic atrophy, glaucoma, and retinal hemorrhage each represented approximately 10% of poor vision cases. Conclusions. The phacoemulsification approach demonstrated a highly effective restoration of vision for the vast majority, while long‐term data analysis indicated the potential for age‐related variability in postoperative visual gains.

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Section: Introductionmentioning

confidence: 99%

Long‐Term Outcomes of Phacoemulsification Surgeries at ECWA Eye Hospital: A Prospective Clinical Cohort Study

Atima,

Idakwo,

Komolafe

et al. 2024

Journal of Ophthalmology

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Topical Anaesthesia Versus Peribulbar Anaesthesia in Small Incision Cataract Surgery – A Comparative Study from Hyderabad Karnataka Region

Deshpande¹,

Anwekar²,

Reddy³

2021

jebmh

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BACKGROUND Anaesthesia is an integral part of any successful surgery. Advances in cataract surgery have led to changes in delivery of anaesthesia as well. Patient and surgeons’ comfort during anaesthesia and surgery is the single most important factor. In developing countries, small incision cataract is preferred sometimes over phacoemulsification in high volume centers. This study was done to compare patient and surgeon satisfaction following topical anaesthesia (TA) versus peribulbar anaesthesia (PA) for small incision cataract surgery (SICS) with intraocular lens implantation (IOL). METHODS This comparative observational study was done at M.R. Medical College, Kalaburagi over a period of 15 months from November 2018 to April 2020. 400 patients undergoing manual small incision cataract surgery (MSICS) after obtaining consent were included in the study, out of which 200 patients were administered TA while 200 were given PA randomly. Patients were prospectively evaluated for pain during administration, during surgery and 4-hours postoperatively through a questionnaire. RESULTS In our study TA group complained no pain whereas 85 % had mild pain and 13 % had moderate pain in PA group during administration of anaesthesia (P < 0.05). During surgery, none of the patients in both the groups experienced severe pain. 17 % patients in TA group had mild pain at 4 hours while only 4 % patients in PA group had pain (P < 0.05). There was no statistically significant difference in surgeon’s satisfaction between 2 groups. CONCLUSIONS Although the administration of PA is painful compared to TA, the patient satisfaction was more post-operatively in PA group. Topical anaesthesia has gained popularity due to minimal discomfort, speed of onset and lack of PA related complications. It is a safe and effective alternative to PA in MSICS with proper selection and education of patient. KEYWORDS Small Incision Cataract Surgery, Topical Anaesthesia, Peribulbar Anaesthesia

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Comparison of topical versus peribulbar anaesthesia for manual small incision cataract surgery with intraocular lens implantation

Cited by 2 publications

References 11 publications

Long‐Term Outcomes of Phacoemulsification Surgeries at ECWA Eye Hospital: A Prospective Clinical Cohort Study

Long‐Term Outcomes of Phacoemulsification Surgeries at ECWA Eye Hospital: A Prospective Clinical Cohort Study

Topical Anaesthesia Versus Peribulbar Anaesthesia in Small Incision Cataract Surgery – A Comparative Study from Hyderabad Karnataka Region

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