title: Neuroleptanalgesia and extracapsular cataract extraction.
abstract: Peribulbar and retrobulbar anaesthesia are commonly used techniques in cataract extraction. They offer satisfactory analgesia and akinesia but serious complications although uncommon are consistently reported. Intravenous sedation combined with a facial nerve block offers an alternative method of anaesthesia. This is a retrospective study of patients who underwent extracapsular cataract extraction using this technique between 1 January 1986 and 1 September 1990. The operating conditions were judged to be very suitable with minimal peroperative complications. The postoperative ocular complication rate was low (minimum follow-up 3 months) and no serious medical complications were noted: 93.8% of patients achieved 6/12 vision or better. This study demonstrates that it is possible to achieve satisfactory ocular analgesia and akinesia during cataract extraction under local anaesthesia without the use of a periocular injection.
authors.affiliation: Department of Ophthalmology, Coventry and Warwickshire Hospital.
authors.forename: P R
authors.initials: PR
authors.lastname: Hodgkins
authors.forename: L
authors.initials: L
authors.lastname: Teye-Botchway
authors.forename: A J
authors.initials: AJ
authors.lastname: Morrell
authors.forename: T J
authors.initials: TJ
authors.lastname: Fetherston
authors.forename: C
authors.initials: C
authors.lastname: Perthen
authors.forename: N E
authors.initials: NE
authors.lastname: Brown
mesh_terms: D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local; D002387:Cataract Extraction; D005154:Facial Nerve; D005260:Female; D006801:Humans; D007431:Intraoperative Complications; D008297:Male; D008875:Middle Aged; D009407:Nerve Block; D009458:Neuroleptanalgesia; D011183:Postoperative Complications; D012189:Retrospective Studies