Circumcorneal perilimbal anesthesia in extracapsular cataract extraction with intraocular lens implantation.
OBJECTIVE
To evaluate the effectiveness of subconjunctival anesthesia in conventional extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation.


METHODS
Eye Hospital, Colombo, Sri Lanka.


METHODS
This prospective study evaluated the complications related to the use of subconjunctival anesthesia in conventional ECCE with IOL implantation. Patient-reported pain during surgery in the first 100 consecutive cases was also evaluated.


RESULTS
Complications from the subconjunctival anesthesia technique were few. Patients did not report intraoperative pain severe enough to cause the procedure to be abandoned or the anesthesia reinforced; surgery was successfully performed in all cases.


CONCLUSIONS
Circumcorneal perilimbal anesthesia was effective for ECCE with IOL implantation. It is important that the surgeon is experienced in the technique and that patients are carefully selected.
Makuloluwa
C A
CA
Eye Hospital, Colombo, Sri Lanka. cabm@sri.lanka.net
Dharmarathna
L
L
D000368:Aged; D000369:Aged, 80 and over; D000772:Anesthesia, Local / Q000379:methods; D000779:Anesthetics, Local / Q000008:administration & dosage*; D002387:Cataract Extraction / Q000379:methods*; D005260:Female; D006801:Humans; D007903:Lens Capsule, Crystalline / Q000601:surgery*; D019654:Lens Implantation, Intraocular / Q000379:methods*; D008012:Lidocaine / Q000008:administration & dosage*; D016850:Limbus Corneae; D008297:Male; D009883:Ophthalmic Solutions; D010147:Pain Measurement; D011446:Prospective Studies
D000779:Anesthetics, Local; D009883:Ophthalmic Solutions; D008012:Lidocaine