Cargando…

Topical vs Peribulbar Anesthesia: Comparison of Anterior Chamber Depth and the Resultant Visual Outcome After Phacoemulsification

PURPOSE: To compare anterior chamber depth and postoperative visual outcome in patients undergoing phacoemulsification under topical vs peribulbar anesthesia. MATERIALS AND METHODS: Prospective, randomized, comparative observational study. Group I: Patients undergoing phacoemulsification under topic...

Descripción completa

Detalles Bibliográficos
Autores principales: Naik, Mayuresh P, Sethi, Harinder Singh, Yadav, Amita
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Dove 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648530/
https://www.ncbi.nlm.nih.gov/pubmed/33173274
http://dx.doi.org/10.2147/OPTH.S264712
_version_ 1783607131417608192
author Naik, Mayuresh P
Sethi, Harinder Singh
Yadav, Amita
author_facet Naik, Mayuresh P
Sethi, Harinder Singh
Yadav, Amita
author_sort Naik, Mayuresh P
collection PubMed
description PURPOSE: To compare anterior chamber depth and postoperative visual outcome in patients undergoing phacoemulsification under topical vs peribulbar anesthesia. MATERIALS AND METHODS: Prospective, randomized, comparative observational study. Group I: Patients undergoing phacoemulsification under topical anesthesia. Group II: Patients undergoing phacoemulsification under peribulbar anesthesia. Once patients were selected, baseline a standard ophthalmic examination was done including best-corrected visual acuity (BCVA), refraction, IOP by NCT, anterior segment evaluation with slit lamp biomicroscopy, keratometry, axial length, and ACD measurement by IOL master. Post-operatively, the patients were reviewed at day 1, week 1, week 6 for the same parameters. Statistics: 1. Quantitative variables: Paired and unpaired t-test. 2. Qualitative variables: Chi square test. A P-value of <0.05 was considered statistically significant. RESULTS: Inter-group comparisons of post-operative change in ACD at 1-week post-op (P-value<0.001) and 6-week post-op (P-value<0.001) were statistically significant when compared to the pre-op values. The mean spherical equivalent in group I was 0.27±0.26 d and that in group II was 1±0.32 d at 1-week post-op. The mean spherical equivalent in group I was 0.23±0.20 d, while that in group II was 0.85±0.64 d at 6-week post-op. This difference was statistically significant both at 1-week post-op (P-value=0.002) and 6-week post-op (P-value<0.001). CONCLUSION: Post-phacoemulsification, the ACD is more after peribulbar anesthesia as compared to topical anesthesia. Post-op refractive outcome is better with the use of topical anesthesia.
format Online
Article
Text
id pubmed-7648530
institution National Center for Biotechnology Information
language English
publishDate 2020
publisher Dove
record_format MEDLINE/PubMed
spelling pubmed-76485302020-11-09 Topical vs Peribulbar Anesthesia: Comparison of Anterior Chamber Depth and the Resultant Visual Outcome After Phacoemulsification Naik, Mayuresh P Sethi, Harinder Singh Yadav, Amita Clin Ophthalmol Original Research PURPOSE: To compare anterior chamber depth and postoperative visual outcome in patients undergoing phacoemulsification under topical vs peribulbar anesthesia. MATERIALS AND METHODS: Prospective, randomized, comparative observational study. Group I: Patients undergoing phacoemulsification under topical anesthesia. Group II: Patients undergoing phacoemulsification under peribulbar anesthesia. Once patients were selected, baseline a standard ophthalmic examination was done including best-corrected visual acuity (BCVA), refraction, IOP by NCT, anterior segment evaluation with slit lamp biomicroscopy, keratometry, axial length, and ACD measurement by IOL master. Post-operatively, the patients were reviewed at day 1, week 1, week 6 for the same parameters. Statistics: 1. Quantitative variables: Paired and unpaired t-test. 2. Qualitative variables: Chi square test. A P-value of <0.05 was considered statistically significant. RESULTS: Inter-group comparisons of post-operative change in ACD at 1-week post-op (P-value<0.001) and 6-week post-op (P-value<0.001) were statistically significant when compared to the pre-op values. The mean spherical equivalent in group I was 0.27±0.26 d and that in group II was 1±0.32 d at 1-week post-op. The mean spherical equivalent in group I was 0.23±0.20 d, while that in group II was 0.85±0.64 d at 6-week post-op. This difference was statistically significant both at 1-week post-op (P-value=0.002) and 6-week post-op (P-value<0.001). CONCLUSION: Post-phacoemulsification, the ACD is more after peribulbar anesthesia as compared to topical anesthesia. Post-op refractive outcome is better with the use of topical anesthesia. Dove 2020-11-03 /pmc/articles/PMC7648530/ /pubmed/33173274 http://dx.doi.org/10.2147/OPTH.S264712 Text en © 2020 Naik et al. http://creativecommons.org/licenses/by-nc/3.0/ This work is published and licensed by Dove Medical Press Limited. The full terms of this license are available at https://www.dovepress.com/terms.php and incorporate the Creative Commons Attribution – Non Commercial (unported, v3.0) License (http://creativecommons.org/licenses/by-nc/3.0/). By accessing the work you hereby accept the Terms. Non-commercial uses of the work are permitted without any further permission from Dove Medical Press Limited, provided the work is properly attributed. For permission for commercial use of this work, please see paragraphs 4.2 and 5 of our Terms (https://www.dovepress.com/terms.php).
spellingShingle Original Research
Naik, Mayuresh P
Sethi, Harinder Singh
Yadav, Amita
Topical vs Peribulbar Anesthesia: Comparison of Anterior Chamber Depth and the Resultant Visual Outcome After Phacoemulsification
title Topical vs Peribulbar Anesthesia: Comparison of Anterior Chamber Depth and the Resultant Visual Outcome After Phacoemulsification
title_full Topical vs Peribulbar Anesthesia: Comparison of Anterior Chamber Depth and the Resultant Visual Outcome After Phacoemulsification
title_fullStr Topical vs Peribulbar Anesthesia: Comparison of Anterior Chamber Depth and the Resultant Visual Outcome After Phacoemulsification
title_full_unstemmed Topical vs Peribulbar Anesthesia: Comparison of Anterior Chamber Depth and the Resultant Visual Outcome After Phacoemulsification
title_short Topical vs Peribulbar Anesthesia: Comparison of Anterior Chamber Depth and the Resultant Visual Outcome After Phacoemulsification
title_sort topical vs peribulbar anesthesia: comparison of anterior chamber depth and the resultant visual outcome after phacoemulsification
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7648530/
https://www.ncbi.nlm.nih.gov/pubmed/33173274
http://dx.doi.org/10.2147/OPTH.S264712
work_keys_str_mv AT naikmayureshp topicalvsperibulbaranesthesiacomparisonofanteriorchamberdepthandtheresultantvisualoutcomeafterphacoemulsification
AT sethiharindersingh topicalvsperibulbaranesthesiacomparisonofanteriorchamberdepthandtheresultantvisualoutcomeafterphacoemulsification
AT yadavamita topicalvsperibulbaranesthesiacomparisonofanteriorchamberdepthandtheresultantvisualoutcomeafterphacoemulsification