Topical Anesthesia versus Regional Anesthesia for Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials

Zhao, Li-Quan; Zhu, Huang; Zhao, Peiquan; Wu, Qirong; Hu, Yue

doi:10.1016/j.ophtha.2011.09.056

Cited by 67 publications

(55 citation statements)

References 32 publications

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“…This is consistent with other studies in which this was the main reason for negative feedback from patients. [5][6][7] The pain was more during insertion of needle for PA. A Study by Kuldeep Dole et al has reported that 89% of PA patients had pain during needle insertion. 1 TA can be in the form of eye drops or viscous gel.…”

Section: Discussionmentioning

confidence: 99%

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

et al. 2016

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Section: Discussionmentioning

confidence: 99%

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

et al. 2016

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“…Menapace studied the use of topical anaesthesia in primary posterior capsulotomy in a series of 500 cases, showing it is a safe method (17) . Zhao et al, in a meta-analysis of 15 studies, showed that despite increased pain perception by patients, topical anaesthesia was preferred over traditional techniques (6) . In a series of 40 operations, Roman et al reported complaints of pain in 10% of cases (18) .…”

Section: Discussionmentioning

confidence: 99%

“…Furthermore, the transcorneal route can be used in patients with coagulation disorders (4) . Studies show that, although potentially more likely to produce pain, topical anaesthesia results in satisfaction levels comparable to traditional anaesthetic techniques (5)(6)(7) . However, topical anaesthesia should be used on selected patients and by an experienced surgeon.…”

mentioning

confidence: 99%

Facoemulsificação sob anestesia tópica: série de casos

Tavares

Colossi

Saalfeld

et al. 2013

Rev. bras.oftalmol.

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“…Topical anesthesia reduces injection-related complications and alleviates patients' fear of injection. The choice of topical anaesthesia is not suitable for patients with a higher initial blood pressure or greater pain perception [25] . Peribulbar anesthesia provided significantly better patient satisfaction in comparison with topical anesthesia when used for cataract surgery [26] .…”

Section: No Anaesthesiamentioning

confidence: 99%

Local Anaesthesia in Cataract Surgery

Reddy

Thevi

2017

International Journal of Ophthalmic Research

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nerves of the cornea and the conjunctiva (long and short ciliary nerves, nasociliary nerves). This technique eliminates the possible complications of injectable anesthesia. However, it does not eliminate pain sensitivity of the iris, the zonule, and the ciliary body which is achieved by intracameral technique of anesthesia with preservative free 1% lidocaine. In a constantly evolving arena, the sub-Tenon's block has gained popularity while the deep angulated intraconal (retrobulbar) block has been largely superseded by the shallower extraconal (peribulbar) approach. Hyaluronidase is a useful adjuvant because it promotes local anesthetic diffusion and hastens block onset time but there is a possibility of getting an allergic reaction. Ultrasound-guided eye blocks afford real-time visualization of needle position and local anesthetic spread. An advantage of sonic guidance is that it may eliminate the hazard of globe perforation by identifying abnormal anatomy, such as staphyloma. INTRODUCTIONThe ideal anaesthesia would be one that provides adequate pain relief during surgery and postoepratively, be easy to administer and have minimal complications. For doing cataract surgery, the anaesthesia could be local or general. Majority of cataract patients are operated under local anaesthesia (infiltration, topical, intracameral). The infiltration anaesthesia is given as retrobulbar or peribulbar or subTenon's block. Carl Koller first used cocaine as a topical anaesthetic for eye surgery in 1884 [1] . The general anaesthesia has its own complications in elderly cataract patients and most of them may have diabetes or hypertension or heart diseases or combination of them. No need of fasting before or after surgery, no need of intubation, no need of using any systemic medications are the advantages of local anaesthesia. However, cataract in children, patients with parkinsonism, deaf mute patients, mental retardation patients, patients ABSTRACTThere has been a significant evolution in surgical technique of cataract extraction. The technical advances in phaco machines, phacotips, and availability of ophthalmic viscoelastic devices have played a great role in cataract surgery to be faster and more controlled now than before. Similarly, local anesthesia techniques in cataract surgery have also advanced significantly from retrobulbar, peribulbar, sub-Tenon's, to topical anaesthesia. Even though, the sub-Tenon's anesthesia technique reduced the risk of complications of peribulbar/ retrobulbar anesthesia but the technique is still associated with a possibility of damage to optic nerve, retrobulbar hemorrhage, and ocular muscle injury. Topical anesthesia is used to block the afferent EDITORIAL

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Topical Anesthesia versus Regional Anesthesia for Cataract Surgery: A Meta-Analysis of Randomized Controlled Trials

Cited by 67 publications

References 32 publications

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

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

Facoemulsificação sob anestesia tópica: série de casos

Local Anaesthesia in Cataract Surgery

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