title: Cataract surgery under topical anesthesia in a patient with Parkinson disease and deep brain stimulation: a report of feasibility.
abstract: OBJECTIVE
  Deep brain stimulation provides benefits for people with Parkinson disease by managing some of their complications. None of the few reports in the current literature establishes the functionality of deep brain stimulation when activated during phacoemulsification.
  
  
  METHODS
  A 70-year-old woman with subthalamic deep brain stimulator (DBS) for advanced Parkinson disease was referred to our center for cataract surgery. To evaluate any possible interference between ultrasounds and the DBS, we registered the impedance of the electrodes before and after surgery.
  
  
  RESULTS
  The patient underwent uneventful phacoemulsification of her right eye under topical anesthesia with her internal pulse generator device activated. During the surgical procedure, all potential variations of the impedance of the electrodes were recorded.
  
  
  CONCLUSIONS
  This report demonstrates that phacoemulsification under topical anesthesia is a feasible procedure in patients with DBS, showing no interference between the ultrasounds and the internal pulse generator.
authors.affiliation: Surgical, Medical, Molecular Pathology, and Emergency Departments, University of Pisa, Pisa - Italy.
authors.forename: Chiara
authors.initials: C
authors.lastname: Posarelli
authors.forename: Eleonora
authors.initials: E
authors.lastname: Del Prete
authors.forename: Roberto
authors.initials: R
authors.lastname: Ceravolo
authors.forename: Marco
authors.initials: M
authors.lastname: Nardi
authors.forename: Michele
authors.initials: M
authors.lastname: Figus
mesh_terms: D000368:Aged; D000772:Anesthesia, Local / Q000379:methods*; D000779:Anesthetics, Local / Q000008:administration & dosage*; D046690:Deep Brain Stimulation; D017097:Electric Impedance; D004567:Electrodes, Implanted; D005260:Female; D006801:Humans; D008012:Lidocaine / Q000008:administration & dosage*; D010300:Parkinson Disease / Q000628:therapy*; D018918:Phacoemulsification / Q000379:methods*
chemical_list: D000779:Anesthetics, Local; D008012:Lidocaine