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Comparison of clinical outcomes, patient, and surgeon satisfaction following topical versus peribulbar anesthesia for phacoemulsification and intraocular lens implantation: A randomized, controlled trial

BACKGROUND: Both cataract surgery and anesthesia techniques are rapidly evolving to become more patient friendly. However, comparison of topical anesthesia (TA) and peribulbar anesthesia (PA) for phacoemulsification and cataract surgery is limited. We evaluated the clinical outcomes and patient and...

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Autores principales: Dole, Kuldeep, Kulkarni, Sucheta, Shisode, Kavita D, Deshpande, Rahul, Kakade, Nilesh, Khandekar, Rajiv, Deshpande, Madan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Medknow Publications & Media Pvt Ltd 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244738/
https://www.ncbi.nlm.nih.gov/pubmed/25370394
http://dx.doi.org/10.4103/0301-4738.143929
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author Dole, Kuldeep
Kulkarni, Sucheta
Shisode, Kavita D
Deshpande, Rahul
Kakade, Nilesh
Khandekar, Rajiv
Deshpande, Madan
author_facet Dole, Kuldeep
Kulkarni, Sucheta
Shisode, Kavita D
Deshpande, Rahul
Kakade, Nilesh
Khandekar, Rajiv
Deshpande, Madan
author_sort Dole, Kuldeep
collection PubMed
description BACKGROUND: Both cataract surgery and anesthesia techniques are rapidly evolving to become more patient friendly. However, comparison of topical anesthesia (TA) and peribulbar anesthesia (PA) for phacoemulsification and cataract surgery is limited. We evaluated the clinical outcomes and patient and surgeon satisfaction between anesthetic techniques. MATERIALS AND METHODS: This randomized clinical trial was conducted between January and June 2012. Patients were randomly assigned to TA and PA groups for surgery. Visual acuity at 4 weeks postoperatively, status of the cornea and the wound and intraoperative complications were compared between groups at day 1, and 1 and 4 weeks after surgery. Patients and the surgeon completed a close-ended questionnaire on satisfaction with analgesia and comfort. The relative risk (RR) with 95% confidence intervals (CI) was calculated. RESULT: There were 500 patients in each group. There were no significant differences between groups preoperatively. Complications at 1-day postoperatively were significantly greater in the TA group (RR = 1.36, 95% CI: 1.17–1.58). Satisfaction with the mitigation of pain was statistically significantly greater in the PA group compared to the TA group (χ(2) = 10.9, df = 3, P = 0.001). Surgeons were more satisfied with PA compared to TA (RR = 1.4, 95% CI: 1.34–1.63). There were more anesthesia-related complications in the PA group compared to the TA group. CONCLUSIONS: Patients who underwent surgery with topical anesthetic experienced lower complications by more pain compared to patients who underwent PA. Topical anesthetic supplemented with analgesic medications could help the patient and surgeon during cataract surgery.
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spelling pubmed-42447382014-12-01 Comparison of clinical outcomes, patient, and surgeon satisfaction following topical versus peribulbar anesthesia for phacoemulsification and intraocular lens implantation: A randomized, controlled trial Dole, Kuldeep Kulkarni, Sucheta Shisode, Kavita D Deshpande, Rahul Kakade, Nilesh Khandekar, Rajiv Deshpande, Madan Indian J Ophthalmol Original Article BACKGROUND: Both cataract surgery and anesthesia techniques are rapidly evolving to become more patient friendly. However, comparison of topical anesthesia (TA) and peribulbar anesthesia (PA) for phacoemulsification and cataract surgery is limited. We evaluated the clinical outcomes and patient and surgeon satisfaction between anesthetic techniques. MATERIALS AND METHODS: This randomized clinical trial was conducted between January and June 2012. Patients were randomly assigned to TA and PA groups for surgery. Visual acuity at 4 weeks postoperatively, status of the cornea and the wound and intraoperative complications were compared between groups at day 1, and 1 and 4 weeks after surgery. Patients and the surgeon completed a close-ended questionnaire on satisfaction with analgesia and comfort. The relative risk (RR) with 95% confidence intervals (CI) was calculated. RESULT: There were 500 patients in each group. There were no significant differences between groups preoperatively. Complications at 1-day postoperatively were significantly greater in the TA group (RR = 1.36, 95% CI: 1.17–1.58). Satisfaction with the mitigation of pain was statistically significantly greater in the PA group compared to the TA group (χ(2) = 10.9, df = 3, P = 0.001). Surgeons were more satisfied with PA compared to TA (RR = 1.4, 95% CI: 1.34–1.63). There were more anesthesia-related complications in the PA group compared to the TA group. CONCLUSIONS: Patients who underwent surgery with topical anesthetic experienced lower complications by more pain compared to patients who underwent PA. Topical anesthetic supplemented with analgesic medications could help the patient and surgeon during cataract surgery. Medknow Publications & Media Pvt Ltd 2014-09 /pmc/articles/PMC4244738/ /pubmed/25370394 http://dx.doi.org/10.4103/0301-4738.143929 Text en Copyright: © Indian Journal of Ophthalmology http://creativecommons.org/licenses/by-nc-sa/3.0 This is an open-access article distributed under the terms of the Creative Commons Attribution-Noncommercial-Share Alike 3.0 Unported, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Original Article
Dole, Kuldeep
Kulkarni, Sucheta
Shisode, Kavita D
Deshpande, Rahul
Kakade, Nilesh
Khandekar, Rajiv
Deshpande, Madan
Comparison of clinical outcomes, patient, and surgeon satisfaction following topical versus peribulbar anesthesia for phacoemulsification and intraocular lens implantation: A randomized, controlled trial
title Comparison of clinical outcomes, patient, and surgeon satisfaction following topical versus peribulbar anesthesia for phacoemulsification and intraocular lens implantation: A randomized, controlled trial
title_full Comparison of clinical outcomes, patient, and surgeon satisfaction following topical versus peribulbar anesthesia for phacoemulsification and intraocular lens implantation: A randomized, controlled trial
title_fullStr Comparison of clinical outcomes, patient, and surgeon satisfaction following topical versus peribulbar anesthesia for phacoemulsification and intraocular lens implantation: A randomized, controlled trial
title_full_unstemmed Comparison of clinical outcomes, patient, and surgeon satisfaction following topical versus peribulbar anesthesia for phacoemulsification and intraocular lens implantation: A randomized, controlled trial
title_short Comparison of clinical outcomes, patient, and surgeon satisfaction following topical versus peribulbar anesthesia for phacoemulsification and intraocular lens implantation: A randomized, controlled trial
title_sort comparison of clinical outcomes, patient, and surgeon satisfaction following topical versus peribulbar anesthesia for phacoemulsification and intraocular lens implantation: a randomized, controlled trial
topic Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4244738/
https://www.ncbi.nlm.nih.gov/pubmed/25370394
http://dx.doi.org/10.4103/0301-4738.143929
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