Lokalan�sthesie in der Ophthalmochirurgie

Weindler, J.; Weindler, Marilyn; Ruprecht, Klaus W.

doi:10.1007/s00347-004-1080-7

Cited by 18 publications

(9 citation statements)

References 57 publications

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“…14,32,61,62 According to Feibel,14 in this technique, a shorter needle (31 mm versus 38 mm) is introduced into the retrobulbar space by having the patient in primary gaze. Precision placement of the needle is essential to avoid complications ( Figure 3 and Table 6).…”

Section: Retrobulbar (Intraconal) Anesthesiamentioning

confidence: 99%

“…The relative performance, efficacy, and underlying complications of local anesthetic agents, including toxicity, have been discussed extensively. 21,[26][27][28][29][30][31][32][33][34][35][36] The pharmacology and pathogenesis of toxicity of the various agents are also well documented. 29 Table 1 lists the properties of common anesthetic agents.…”

Section: Anesthetic Agentsmentioning

confidence: 99%

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Local anesthesia for cataract surgery

Malik¹,

Fletcher²,

Chong³

et al. 2010

Journal of Cataract and Refractive Surgery

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Various aspects of local anesthesia for cataract surgery, such as the anesthetic agents and their interaction with ocular nerve supply, anesthesia requirements, available clinical techniques and their inherent complications are reviewed. A comparative evaluation of clinical techniques in terms of efficacy, akinesia, and patient-perceived pain during both anesthesia administration and intraoperative cataract surgery is presented, along with the prevailing practice patterns of anesthesia techniques among refractive surgeons in the United Kingdom and United States. More randomized clinical trials are needed to facilitate statistical methods of metaanalysis to establish convincingly the overall benefits and efficacy of the various local anesthesia procedures in cataract surgery. The wide scope of the present review is of relevance in structuring ophthalmology and anesthesia specialist training programs for junior staff.

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Section: Retrobulbar (Intraconal) Anesthesiamentioning

confidence: 99%

Section: Anesthetic Agentsmentioning

confidence: 99%

Local anesthesia for cataract surgery

Malik¹,

Fletcher²,

Chong³

et al. 2010

Journal of Cataract and Refractive Surgery

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“…The development of cataract surgery under local anesthesia makes it possible to avoid postoperative covering of the eye [1,7]. The immediate postoperative ability of patients to orient themselves when IV therapy is used and the increased frequency of outpatient cataract operations, led us to the main research question of this study: can the BUT be improved-thereby decreasing pain and increasing patient satisfaction-using IV in combination with tear replacements.…”

Section: Discussionmentioning

confidence: 99%

Patient satisfaction and postoperative pain with different postoperative therapy regimens after standardized cataract surgery: a randomized intraindividual comparison

2011

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The purpose of this study was to evaluate if administration of artificial tears of high or low-viscosity improve cataract patients' satisfaction and postoperative pain after cataract surgery. Thirty consecutive patients undergoing bilateral cataract surgery under topical anesthesia were enrolled prospectively. Administration of the following postoperative therapies was randomized: for all participants, one eye was treated with "instant vision" (IV) therapy alone (IV-alone), i.e., this eye remained uncovered. In group 1 (n = 11), the second eye received IV therapy with Hylo-Comod(®) (HC) eye drops; in group 2 (n = 9), IV with Vidisic(®) (VS) eye drops; in group 3 (n = 10), an ointment bandage (OB). Postoperative satisfaction, pain scores, visual acuity, intraocular pressure, tear break-up time and postoperative corneal changes were compared. Group 1: No clear preference was observed for any of the methods concerning subjective satisfaction. Group 2: 100% of patients preferred IV + VS therapy. Group 3: Patients' postoperative satisfaction with OB therapy was 89%. Concerning postoperative pain perception, no significant differences were found between IV therapy alone and the IV-combination therapies. Significant differences in pain perception (P < 0.042) were measured between IV and OB in the first 8 h postoperatively. Ten hours postoperatively and beyond, there were no significant differences in pain scores (P > 0.05). Pain perception was significantly lower with OB when compared to IV-alone or IV-combination therapies using artificial tears. This result was verified by OB's 89% patient satisfaction level. Low-viscosity artificial tears showed no significant subjective benefits for the patients; patient satisfaction was greatest (100%) with a high-viscosity tear substitute.

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“…However pain during the surgery is frequently encountered and therefore opioid administration may be required in these patients. It requires close co-operation with the patient during the operation (Weindler et al, 2004).…”

Section: Topical Anaesthesiamentioning

confidence: 99%

Anaesthetic Management in Cataract Surgery

Apan¹

2013

Cataract Surgery

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Lokalan�sthesie in der Ophthalmochirurgie

Cited by 18 publications

References 57 publications

Local anesthesia for cataract surgery

Local anesthesia for cataract surgery

Patient satisfaction and postoperative pain with different postoperative therapy regimens after standardized cataract surgery: a randomized intraindividual comparison

Anaesthetic Management in Cataract Surgery

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