Cargando…

Manual small-incision cataract surgery under topical anesthesia

Manual small-incision cataract surgery is one of the most common surgical procedures in ophthalmology. Most cataract surgeries are performed under local anaesthesia. Peribulbar or retrobulbar anaesthesia is commonly used to achieve analgesia and akinesia during surgery but it has various complicatio...

Descripción completa

Detalles Bibliográficos
Autores principales: Tumbadi, Kavitha L, Nagaraj, Kalpana B, Mathew, Akhila, Devegowda, Shilpa Y, Hemalatha, B C
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Wolters Kluwer - Medknow 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9907278/
https://www.ncbi.nlm.nih.gov/pubmed/36308149
http://dx.doi.org/10.4103/ijo.IJO_1742_22
_version_ 1784884144987176960
author Tumbadi, Kavitha L
Nagaraj, Kalpana B
Mathew, Akhila
Devegowda, Shilpa Y
Hemalatha, B C
author_facet Tumbadi, Kavitha L
Nagaraj, Kalpana B
Mathew, Akhila
Devegowda, Shilpa Y
Hemalatha, B C
author_sort Tumbadi, Kavitha L
collection PubMed
description Manual small-incision cataract surgery is one of the most common surgical procedures in ophthalmology. Most cataract surgeries are performed under local anaesthesia. Peribulbar or retrobulbar anaesthesia is commonly used to achieve analgesia and akinesia during surgery but it has various complications. Our aim was to study patient comfort and surgeon’s perspective in terms of patient cooperation in MSICS under topical anaesthesia using only proparacaine 0.5% eye drops without any periocular block or intracameral drug. Also to popularise Topical MSICS similar to Topical Phacoemulsification. A prospective analytical study of 33 patients who underwent MSICS surgery from March 2022 to June 2022 using Topical proparacaine eye drops 0.5% was done and patient’s comfort and surgeon’s perspective in terms of patient cooperation was studied on a scale of 1-5. Out of 33 patients who underwent surgery, the average comfort score based on patient feedback was 3.45± 0.96 and average patient cooperation score based on surgeon assessment was 3.42 ± 1.07 on a scale of 1-5. We concluded that MSICS using only topical proparacaine 0.5% eye drops, can provide sufficient patient comfort and can avoid complications related to peribulbar anaesthesia. Hence it can be used in large scale cataract surgeries and also provides economical utilisation of resources, lesser complications and early post operative recovery without compromising surgical outcome.
format Online
Article
Text
id pubmed-9907278
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher Wolters Kluwer - Medknow
record_format MEDLINE/PubMed
spelling pubmed-99072782023-02-08 Manual small-incision cataract surgery under topical anesthesia Tumbadi, Kavitha L Nagaraj, Kalpana B Mathew, Akhila Devegowda, Shilpa Y Hemalatha, B C Indian J Ophthalmol Surgical Technique Manual small-incision cataract surgery is one of the most common surgical procedures in ophthalmology. Most cataract surgeries are performed under local anaesthesia. Peribulbar or retrobulbar anaesthesia is commonly used to achieve analgesia and akinesia during surgery but it has various complications. Our aim was to study patient comfort and surgeon’s perspective in terms of patient cooperation in MSICS under topical anaesthesia using only proparacaine 0.5% eye drops without any periocular block or intracameral drug. Also to popularise Topical MSICS similar to Topical Phacoemulsification. A prospective analytical study of 33 patients who underwent MSICS surgery from March 2022 to June 2022 using Topical proparacaine eye drops 0.5% was done and patient’s comfort and surgeon’s perspective in terms of patient cooperation was studied on a scale of 1-5. Out of 33 patients who underwent surgery, the average comfort score based on patient feedback was 3.45± 0.96 and average patient cooperation score based on surgeon assessment was 3.42 ± 1.07 on a scale of 1-5. We concluded that MSICS using only topical proparacaine 0.5% eye drops, can provide sufficient patient comfort and can avoid complications related to peribulbar anaesthesia. Hence it can be used in large scale cataract surgeries and also provides economical utilisation of resources, lesser complications and early post operative recovery without compromising surgical outcome. Wolters Kluwer - Medknow 2022-11 2022-10-25 /pmc/articles/PMC9907278/ /pubmed/36308149 http://dx.doi.org/10.4103/ijo.IJO_1742_22 Text en Copyright: © 2022 Indian Journal of Ophthalmology https://creativecommons.org/licenses/by-nc-sa/4.0/This is an open access journal, and articles are distributed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 License, which allows others to remix, tweak, and build upon the work non-commercially, as long as appropriate credit is given and the new creations are licensed under the identical terms.
spellingShingle Surgical Technique
Tumbadi, Kavitha L
Nagaraj, Kalpana B
Mathew, Akhila
Devegowda, Shilpa Y
Hemalatha, B C
Manual small-incision cataract surgery under topical anesthesia
title Manual small-incision cataract surgery under topical anesthesia
title_full Manual small-incision cataract surgery under topical anesthesia
title_fullStr Manual small-incision cataract surgery under topical anesthesia
title_full_unstemmed Manual small-incision cataract surgery under topical anesthesia
title_short Manual small-incision cataract surgery under topical anesthesia
title_sort manual small-incision cataract surgery under topical anesthesia
topic Surgical Technique
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9907278/
https://www.ncbi.nlm.nih.gov/pubmed/36308149
http://dx.doi.org/10.4103/ijo.IJO_1742_22
work_keys_str_mv AT tumbadikavithal manualsmallincisioncataractsurgeryundertopicalanesthesia
AT nagarajkalpanab manualsmallincisioncataractsurgeryundertopicalanesthesia
AT mathewakhila manualsmallincisioncataractsurgeryundertopicalanesthesia
AT devegowdashilpay manualsmallincisioncataractsurgeryundertopicalanesthesia
AT hemalathabc manualsmallincisioncataractsurgeryundertopicalanesthesia