Ropivacaine versus lidocaine for deep‐topical, nerve‐block anaesthesia in cataract surgery: a double‐blind randomized clinical trial

Uğur, Bakiye; Dündar, Sema Oruç; Oğurlu, Mustafa; Gezer, Erdal; Ozcura, Fatih; Gürsoy, Feray

doi:10.1111/j.1442-9071.2006.01409.x

Cited by 6 publications

(1 citation statement)

References 28 publications

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“…Based on the VAS scores, the patients who underwent deep topical anesthesia reported less pain. This is similar to the results of Martini et al who reported a lower pain score in patients receiving topical ropivacaine with respect to topical lidocaine, although their results did not reach statistical significance [18], whereas Ugur et al did not report any significant difference in pain score when comparing deep topical anesthesia with ropivacaine to deep topical anesthesia with lidocaine [26]. Similar to the results of Ugur [26], surgeon satisfaction was good in both groups, but in our study this was better in the deep topical anesthesia group.…”

Section: Discussionsupporting

confidence: 87%

Deep topical anesthesia with ropivacaine-soaked sponge for phacoemulsification

Scuderi

Calafiore

et al. 2019

Int Ophthalmol

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Purpose To assess safety and efficacy of deep topical anesthesia with ropivacaine-soaked sponge compared with topical anesthesia with oxybuprocaine in patients undergoing phacoemulsification. Methods This was a retrospective study where records of patients operated for cataract were evaluated. Patients using a visual analogue scale scored pain during surgery, and the surgeon on a questionnaire recorded ease of operation. Medical records were evaluated for patients who received topical anesthesia with multiple administrations of oxybuprocaine 0.4% or those who received deep topical anesthesia with a polyvinyl acetal sponge impregnated with ropivacaine 0.75% and positioned under the eyelid 30 min before surgery.Results A total of one hundred patient records, equally divided in patients receiving deep topical anesthesia or topical anesthesia, were included. The visual analogue scale scores among the groups were statistically significant for a lower pain score in patients who received deep topical anesthesia with ropivacaine-soaked sponges (p = 0.0069). The average surgeon score was significantly higher for the deep topical anesthesia group indicating favorable ease of surgery (p = 0.0341). Six patients had major complications during surgery. No additional anesthesia was necessary to manage the complications in four patients in the deep anesthesia group, whereas propofol was used for the induction and maintenance of anesthesia in two patients in the topical anesthesia group. Conclusions Deep topical anesthesia with ropivacaine-soaked sponges performed as well as topical oxybuprocaine regarding safety and efficacy. It provided a lower patient pain score, favorable surgeon satisfaction, and long-lasting anesthesia.

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Section: Discussionsupporting

confidence: 87%