General Anesthesia in Cataract Surgery

Sanders, Roshini; Cutler, Norman L.

doi:10.1001/archopht.1950.00910010664004

Cited by 6 publications

(6 citation statements)

References 6 publications

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“…3 General anaesthesia is rarely performed for cataract surgery these days and is generally restricted to pediatric age group and for very uncooperative patients such as those with Down's syndrome and very rarely in eyes where cataract is being combined with trauma repair. 4,5 Retrobulbar anaesthesia involves injecting small amount of anaesthetic in the intraconal space and is considered Fig. 1: Technique of giving a peribulbar block more dangerous due to risk of injury to delicate structures as well as much higher risk of globe perforation and life threatening complications such as brainstem anaesthesia.…”

Section: Discussionmentioning

confidence: 99%

A comparative study of subtenon’s anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery in patients with age related cataracts

Bhonsale¹,

Mehta²,

Gandhi³

et al. 2022

IJCEO

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To compare the safety, efficacy and ease of administration of subtenon’s anaesthesia with peribulbar anaesthesia in manual small incision cataract surgery(MSICS) and assess the surgeon and patient comfort. A prospective longitudinal study was conducted among 200 patients undergoing MSICS at a rural tertiary care hospital wherein patients were randomly divided into the two groups of peribulbar (P) and subtenon’s (ST) block. After randomization, 200 patients were assessed for various factors including pain at the time of administration of anaesthetic, time to attain akinesia, patient’s comfort and satisfaction score. 200 eyes of 200 patients who underwent MSCIS were divided into Peribulbar and Subtenon’s group by random number table; of which 122 were women (61%) and 78 were men (39%). There was a significant difference in the amount of anaesthetic used, with the group P (8.37+1.19 ml) usage being more than the group ST(4.02+0.91 ml) (p<0.001). Group P took significantly lesser time to attain akinesia compared to group ST. Group P achieved significantly higher degree of akinesia than group ST. (p<0.001) Significantly greater number of eyes in the group ST required additional anaesthetic injection compared to the group P (p<0.001). A significantly more number of patients experienced pain in the group P. (p=0.008)Significantly greater number of eyes in group ST had mild and moderate chemosis and subconjunctival haemorrhage compared to group P(p<0.001). We found that subtenon’s anaesthesia was an equally effective technique for achieving analgesia and akinesia when compared to peribulbar anaesthesia in patients undergoing MSICS.

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Section: Discussionmentioning

confidence: 99%

A comparative study of subtenon’s anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery in patients with age related cataracts

Bhonsale¹,

Mehta²,

Gandhi³

et al. 2022

IJCEO

View full text Add to dashboard Cite

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Section: Evolution Of Pain Management/anesthesiamentioning

confidence: 99%

“…12,22–25 With newer surgical techniques, instrumentation, and technology, most cataract surgery is performed using a combination of local and topical anesthetics along with monitored anesthesia care (MAC) (Figure 2). 12,22–28…”

Section: Evolution Of Pain Management/anesthesiamentioning

confidence: 99%

“…Advances in cataract surgery pain management. References: a 22; b 12,22,23; c 12; d 12; e 12,23,27; f 12,23,24,28; g 12,25; h 12,23; i 12,23,24; j 12,26. MAC = monitored anesthesia care…”

Section: Evolution Of Pain Management/anesthesiamentioning

confidence: 99%

“…Since the ancient Egyptians and Assyrians used carotid compression to render patients unconscious for cataract surgery, anesthesia and pain management have included a range of general, regional, and topical approaches. 12,[22][23][24][25] With newer surgical techniques, instrumentation, and technology, most cataract surgery is performed using a combination of local and topical anesthetics along with monitored anesthesia care (MAC) (Figure 2). 12,[22][23][24][25][26][27][28] MAC Many cataract surgeries are performed under MAC, defined by The American Society of Anesthesiologists as "a specific anesthesia service performed by a qualified anesthesia provider for a diagnostic or therapeutic procedure.…”

Section: Evolution Of Cataract Surgery Techniquesmentioning

confidence: 99%

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