Contact topical anesthesia versus general anesthesia in strabismus surgery

Vallés-Torres, J.; García‐Martín, Elena; Fernández-Tirado, F.J.; Gil-Arribas, L.; Pablo, L.; Peña-Calvo, P.

doi:10.1016/j.oftale.2016.02.008

Cited by 7 publications

(5 citation statements)

References 21 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…(2018) reported a NVAS score of 0–3 in 99%, and Valles‐Torres et al. (2016) reported a NVAS score of 3.2 SD ± 2.4. Our results among GO patients are highly comparable to previous published results in non‐GO patients.…”

Section: Discussionmentioning

confidence: 99%

“…2009; Vallés‐Torres et al. 2016). Additionally, the use of TA allows the surgeon to perform adjustments perioperatively, thus sparing the patient additional procedures.…”

Section: Introductionmentioning

confidence: 99%

“…General anaesthesia (GA), systemic medication and periocular injections have possible side effects, which can cause permanent physical damage (Kumar 2006;Gupta et al 2007). Strabismus surgery under topical anaesthesia (TA) in non-GO patients applied as eye drops, and gel is considered less invasive and has a favourable risk profile compared to other anaesthetic methods (Kim et al 2000;Seijas et al 2009;Vall es-Torres et al 2016). Additionally, the use of TA allows the surgeon to perform adjustments perioperatively, thus sparing the patient additional procedures.…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Topical anaesthesia in strabismus surgery for Graves’ orbitopathy: a comparative study of 111 patients

Boulakh

Toft-Petersen

Severinsen

et al. 2021

Acta Ophthalmologica

View full text Add to dashboard Cite

Purpose To evaluate the tolerability and usability of topical anaesthesia in single rectus muscle recession for strabismus caused by Graves’ orbitopathy (GO). To compare the perioperative pain score and surgical outcome between GO patients and non‐GO patients. Methods A retrospective comparative study of consecutive single rectus muscle recession performed under topical anaesthesia was carried out. All patients scheduled for one‐stage single rectus muscle recession under topical anaesthesia were included. Numerical visual analogue pain score scale (NVAS) points, rates of motor success (horizontal deviation < 8 prism diopters (PD) and vertical deviation ≤ 6 PD) and sensory success (no diplopia without prisms), complications and postoperative adjustment frequencies were compared between GO and non‐GO patients. Results A total of 111 patients were included. The mean perioperative pain scores were 2.3 (SD ± 1.3) in GO and 1.6 (SD ± 1.1) in non‐GO patients (p = 0.06 adjusted for gender). The postoperative mean alignments in GO and non‐GO patients were 2 versus 3 PD horizontally and 1 versus 1 PD vertically respectively. Both motor and sensory success rates were 98% in GO patients and 94% versus 93% in non‐GO patients. Adjustments as a second procedure the day after surgery was performed in 10% of the GO patients and 15% of the non‐GO patients. The oculocardiac reflex was not triggered in any of the GO patients. Conclusion Topical anaesthesia in single muscle recession for GO is safe, well‐tolerated and gives comparable surgical outcomes to those achieved in non‐GO patients.

show abstract

Section: Discussionmentioning

confidence: 99%

“…2009; Vallés‐Torres et al. 2016). Additionally, the use of TA allows the surgeon to perform adjustments perioperatively, thus sparing the patient additional procedures.…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Topical anaesthesia in strabismus surgery for Graves’ orbitopathy: a comparative study of 111 patients

Boulakh

Toft-Petersen

Severinsen

et al. 2021

Acta Ophthalmologica

View full text Add to dashboard Cite

show abstract

“…For local anaesthetic injections, although the complications of general anaesthesia are avoided, at least 6 hours are required before adjusting sutures, to allow the effects of the local anaesthetics to wear off. [18][19][20][21] We prefer general anaesthesia for our strabismus surgeries in all cases, with suture adjustment under topical proparacaine hydrochloride 0.5% drops only, after 1 hour or more has elapsed after surgery, at which time the patient is fully conscious, able to obey commands and no longer under the effects of the general anaesthetics. This provides an accurate assessment of the residual strabismus.…”

Section: Discussionmentioning

confidence: 99%

Pain Score in Adjustable Strabismus Surgery

Nadeem¹

2020

pak J Ophthalmol

View full text Add to dashboard Cite

Purpose: To assess the pain experienced by patients at the time of suture adjustment using topical proparacaine hydrochloride 0.5% anesthesia, in adjustable suture strabismus surgery. Study Design: Prospective, interventional study. Place and Duration of Study: Eye department of Fauji Foundation Hospital, Rawalpindi from May, 2017 to March, 2019. Material and Methods: A prospective study was carried out to assess the pain experience of patients undergoing suture adjustment under topical proparacaine hydrochloride 0.5% anesthesia, during routine adjustable squint surgery. All surgeries were performed under general anesthesia with suture adjustment done 1 hour or more after surgery when the effects of general anesthesia had worn off. Horizontal and vertical muscle recessions and resections were included along with inferior oblique surgeries, and transposition procedures. The patients were given the ‘Wong-Baker FACES® Pain rating Scale’; along with a ‘Numeric Pain Rating Scale’ from 0 to 10 (0 signifying ‘no pain’ and 10 signifying ‘worst possible pain’) on a proforma. The response of the patients was noted. Results: Thirty three patients who underwent adjustable strabismus surgery were included in this study. The mean age was 19.1 ± 11.1 years. The average number of muscles operated upon for each patient were 2.87 ± 1.08. The patients’ response to the ‘Wong-Baker FACES® Pain rating Scale’ ranged from 0 to 8, with a mean of 2.03 ± 1.81 SD. On the ‘Numeric Pain Rating Scale’ a similar response was obtained with a mean of 2.0 ± 1.82 SD. Augmentation of anesthesia was not needed in any patient. Conclusion: Adjustment of sutures under topical proparacaine hydrochloride 0.5% anesthesia after strabismus surgery is a practical, comfortable and safe procedure.

show abstract

“…In another study comparing general anaesthesia to contact topical anaesthesia, it was shown that contact topical anaesthesia provided adequate sensory block for strabismus surgery, and that it was associated with a better surgical outcome (Valles‐Torres et al. ). In most cases, the operations included in this study were performed under general anaesthesia, and this could have affected the results.…”

Section: Discussionmentioning

confidence: 99%

Clinical evidence supporting the use of donor sclera as spacer material in complicated cases of strabismus surgery – retrospective evaluation of surgical results in 117 patients with thyroid‐associated ophthalmopathy or congenital strabismus

Thorisdottir

Blohmé

Malmsjö

2018

Acta Ophthalmologica

View full text Add to dashboard Cite

Purpose: To examine the outcome of the use of donor sclera as spacer material in complicated cases of strabismus surgery. Methods: A retrospective cohort study on patients with complicated thyroidassociated ophthalmopathy (TAO) (n = 42) or congenital strabismus (n = 75). Patients underwent strabismus surgery during 1994-2014. The surgical results were evaluated in terms of the reduction in the angle of deviation, the need for reoperation, complications and patient satisfaction. Results: The majority of the TAO patients underwent surgery for vertical strabismus (n = 25). The vertical angle of deviation in the primary position was significantly reduced from a median of 23 prism dioptres (PD) to 2 PD (n = 35, p < 0.001). The horizontal angle of deviation in primary position for TAO patients with esotropia was significantly reduced, from a median of 35 PD to 2 PD (n = 17, p < 0.001). The majority of the congenital cases had horizontal strabismus (esotropia = 29, exotropia = 27). The angle of deviation in esotropia was reduced from a median of 29 PD to 8 PD (n = 36, p < 0.001) and in exotropia from 30 PD to 10 PD (n = 34, p < 0.001). Most of the patients were satisfied with the outcome of surgery, and only 12% required re-operation within 2 years. Conclusion: This is the first clinical study on the use of donor sclera as spacer material in complicated cases of strabismus surgery. The surgical results were good in terms of the reduction in the angle of deviation, the need for re-operation, complications and patient satisfaction, supporting the use of donor sclera for strabismus surgery.

show abstract

Contact topical anesthesia versus general anesthesia in strabismus surgery

Cited by 7 publications

References 21 publications

Topical anaesthesia in strabismus surgery for Graves’ orbitopathy: a comparative study of 111 patients

Topical anaesthesia in strabismus surgery for Graves’ orbitopathy: a comparative study of 111 patients

Pain Score in Adjustable Strabismus Surgery

Clinical evidence supporting the use of donor sclera as spacer material in complicated cases of strabismus surgery – retrospective evaluation of surgical results in 117 patients with thyroid‐associated ophthalmopathy or congenital strabismus

Contact Info

Product

Resources

About