Combined topical and subconjunctival anesthesia in cataract surgery.
A combined technique of topical anesthesia (TA) and subconjunctival anesthesia (SCA) was used in 73 consecutive patients undergoing scleral tunnel phacoemulsification cataract surgery. Medical records were evaluated preoperatively, intraoperative, and postoperatively. A patient questionnaire was used to obtain subjective intraoperative and postoperative information. Preoperative and intraoperative sedation of varying degrees was necessary. Ninety-five percent of the patients reported no pain. No patients required additional retrobulbar or peribulbar anesthesia. The most frequent postoperative problems were pain, a need for patching, and headache. The combined TA and SCA technique appeared safe, medically acceptable, and cost-effective.
Anderson
C J
CJ
Department of Ophthalmology, University of Wisconsin, Madison.
D000287:Administration, Topical; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002045:Bupivacaine / Q000008:administration & dosage; D002387:Cataract Extraction; D003228:Conjunctiva; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D006821:Hyaluronoglucosaminidase / Q000008:administration & dosage; D007267:Injections; D007431:Intraoperative Complications; D008012:Lidocaine / Q000008:administration & dosage; D008297:Male; D009883:Ophthalmic Solutions; D011183:Postoperative Complications
D000779:Anesthetics, Local; D009883:Ophthalmic Solutions; D008012:Lidocaine; D006821:Hyaluronoglucosaminidase; D002045:Bupivacaine