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Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México

2007, Number 3

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Rev Mex Oftalmol 2007; 81 (3)

Comparación de la utilización de anestesia retrobulbar más tópica versus tópica más intracamerular en cirugía de facoemulsificación más implante de lente intraocular

Salinas GJL, De Alarcón JÁ, Martínez FC, Villar KJ, Villaseñor DJ, Aveleyra FR

Language: Spanish
References: 7
Page: 138-141
PDF size: 33.68 Kb.


ABSTRACT

Purpose. Determine the efficacy of topical anesthesia with intracameral supplementation for cataract surgery.
Methods. We realized a prospective and randomized study of 100 consecutive cataract extractions with intraocular lens implantation: 50 patients received topical anesthesia (group I, n=50) and the other 50 received retrobulbar anesthesia (group II, n=50). Each patient was asked to grade the level of pain at the time of administration of anesthesia, during surgery, and postoperatively as no pain, moderate pain and severe pain.
Results. There was more discomfort in patients in group II while anesthesia was administered (p‹0.001) and in the postoperative period (p‹0.001). Inadvertent movement of the eyeball was noted in every eye (n=50) in group I, and not in group II. There were no systemic complications.
Conclusions. Topical anesthesia with intracameral anesthesia appears to provide acceptable analgesia during surgery, and does not interfere with the patient’s seeing, blinking, or moving the eye. Topical anesthesia is an effective technique.


REFERENCES

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  2. Ofeibell R M. Current concepts in retrobulbar anesthesia. Surv Ophthalmol 1985; 30:102-110.

  3. Corey M. Using topical anesthesia with clear cornea cataract surgery and concomitant astigmatic keratotomy. Phaco Foldables 1996; 9:1.

  4. Labelle PF. Ocular complication associated with retrobulbar anesthesia. Ophthalmology 1988; 95:1.579.

  5. Patel BCK, Burns TA, Crandall A y cols. A comparison of topical and retrobulbar anesthesia for cataract surgery. Ophthalmology 1996; 103:1.196-1.203.

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  7. Liu JC, Steinemann TL, McDonald MB y cols. Topical bupivacaine and proparacaine: a comparison of toxicity, onset of action, and duration of action. Cornea 1993; 12:228-232.




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