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Revista Mexicana de Oftalmología

Anales de la Sociedad Mexicana de Oftalmología y Archivos de la Asociación Para Evitar la Ceguera en México
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2009, Number 4

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Rev Mex Oftalmol 2009; 83 (4)

Anestesia tópica con soluciones frías en facoemulsificación

Torres-Moreno AJ
Full text How to cite this article

Language: Spanish
References: 14
Page: 197-200
PDF size: 88.98 Kb.


Key words:

Topical anesthesia, cold intraocular irrigation, comfort.

ABSTRACT

Objective: To evaluate comfort of patients in phacoemulsification with topical anesthesia in conjunction with cold intraocular irrigation versus topical anesthesia with solutions at room temperature.
Methods: 55 patients (55 eyes), separated in 2 groups: a) group 1, 30 eyes, with topical anesthesia in conjunction with intraocular cold irrigation solution (8 degrees.) b) group 2, 25 eyes, with topical anesthesia with solutions at room temperature. Once the patients were seated a patient satisfaction questionnaire was taken.
Results: Group 1: One patient (3.33%) without sensation, 16 patients (53.33%) sensation, but without pain, 10 patients (33.33%) little pain, 2 patients (6.66%) moderate pain and 1 patient (3.33%) severe pain. Group 2: One patient (4%) without sensation, 8 patients (32%) sensation but without pain, 9 patients (36%) little pain, 4 patients (16%) moderate pain and 3 patients (12%) severe pain.
Conclusions: There are clinical and statistical difference between both groups (P=0.037), patients operated with topical anesthesia in conjunction with cold intraocular irrigation feel more comfortable than topical anesthesia with solutions at room temperature, especially in patients with hard cataracts.


REFERENCES

  1. Mathew M, Webb L, Hil R. Surgeon experience and patient comfort during clear corneal phacoemulsification under topical local anesthesia. J Cataract Refract Surg 2002; 28:1977-1981.

  2. Patel B, Burns T, Candall A, Shomaker S, Pace N. A comparison of topical and retrobulbar anesthesia for cataract surgery. Ophthalmology 1996; 8:1196-1203.

  3. Jhonston R, Whiterfield L, Giralt J, Harrun S, Akerele T, Bryan S, Nhua K. Topical versus peribulbar anesthesia, without sedation, for clear corneal phacoemulsification. J Cataract Refract Surg 1998; 24:407-410.

  4. Torres A, Arroyo L, Lozano J, Graue M. Anestesia tópica sin sedación en facoemulsificación: relación entre la personalidad del paciente, su satisfacción y cooperación durante la cirugía. Rev Mex Oftalmol 2005; 79(5):245-250.

  5. Tovar EA, Roete RA, Weissig MD, Loyd RE, Patel GR. One day admission for lung lobectomy, an incidental result of a clinical pathwar. Ann Thorac Surg 1998; 65(3):803-806.

  6. Tovar EA, Roete RA, Weisig MD, Lillie MJ, Dabbs KS, Lloyd RE, Patel GR. Muscle-sparing minithoracotomy with intercostals nerve cryoanalgesia, an improved method for major lung resections. AM Surg 1998; 64(11):1109-1115.

  7. Kitazawa Y, Maekawa E, Sasaki S, Tokoro T, Mochizki M, Ito S. Cooling effect on excimer laser photorefractive keratectomy. J Cataract Refract Surg, 1999; 25:1349-1355.

  8. Burton H. Mecanismos de acción y sensación somáticos del ojo. En: Moses RA. Fisiología del ojo de Adler. Buenos Aires, Panamericana, 1980; 68-87.

  9. Findi O, Amn M, Kruger A, Petternel V, Schauersberger J. Effect of cooled intraocular irrigating solution on the bloodaqueous barrier after cataract surgery. J Cataract Refract Surg 1999; 25(4):566-568.

  10. Tamay K, Majima A, Yan C. Effects of local hypothermia on uveal blood flow and postoperative inflammation in vitrectomy. Jpn J Ophthalmol 1995; 39:43-48.

  11. Freeman RD, Fatt T. Enviromental influences on ocular temperature. Invest Ophthalmol Vis Sci 1973; 12:596-602.

  12. Alvarez J, Montesinos BM, Gutierrez FJ. Facoemulsificación bajo crioanestesia: nuestra experiencia. Arch Soc Canar Oftal 2002; 13.

  13. Gutierrez F, Alvarez J. Randomized comparative clinical study of cryoanalgesia versus topical anesthesia in clear corneal phacoemulsification. J Cataract Refract Surg 2005, 31(6):1187-1193.

  14. Krupin, Kolker, Rosenberg. Complicaciones en Oftalmología Quirúrgica. Mosby 2a ed. Madrid, 2000, p: 1-15.




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Rev Mex Oftalmol. 2009;83