Cataract Extraction under Topical-Subconjunctivital

Local anaesthesia for ophthalmic surgical techniques is achieving prevalence now. Various local procedures were described in the literature including retrobulbar, peribulbar, subconjunctival and topical anaesthesia. This study endeavor to ascertain the efficacy of lidocaine topical-subconjunctival...

Full description

Bibliographic Details
Main Authors: Mohammed Z. Al-Sherifi, Salam N. Asfar
Format: Article
Language:English
Published: university of basrah 2002-12-01
Series:Basrah Journal of Surgery
Online Access:https://bjsrg.uobasrah.edu.iq/article_55186_c464b994cea78c6a68b8d2f7a8febac9.pdf
_version_ 1811331333611323392
author Mohammed Z. Al-Sherifi
Salam N. Asfar
author_facet Mohammed Z. Al-Sherifi
Salam N. Asfar
author_sort Mohammed Z. Al-Sherifi
collection DOAJ
description Local anaesthesia for ophthalmic surgical techniques is achieving prevalence now. Various local procedures were described in the literature including retrobulbar, peribulbar, subconjunctival and topical anaesthesia. This study endeavor to ascertain the efficacy of lidocaine topical-subconjunctival anesthesia technique combined with neuroleptic sedation-analgesia consisting of fentanyl and droperidol in cataract surgery, and to test patient's and surgeon's satisfaction with this method. Sixty five patients with mature cataract age range 55-70 years were scheduled for cataract extraction. Patients were 36 male and 29 female. Topical and subconjunctival local anaesthesia was supplemented by intravenous sedative and analgesic medication consisting of 50g fentanyl and 2.5 mg droperidol. A special patient's pain scoring system used in this study with another intraoperative surgeon's satisfaction score to test the reliability of this method. All patients had successful cataract extraction with an average surgery time of 20-25 minutes. Patients had minimal or no movement during surgery. No patient required additional supplement of anaesthesia as there were no intolerable pain. No postoperative complications. Cataract surgery can be safely and effectively performed by surgeons converting to topical anesthesia using this method
first_indexed 2024-04-13T16:18:47Z
format Article
id doaj.art-42789805cdda434e9b4a2d13e4bf13d3
institution Directory Open Access Journal
issn 1683-3589
2409-501X
language English
last_indexed 2024-04-13T16:18:47Z
publishDate 2002-12-01
publisher university of basrah
record_format Article
series Basrah Journal of Surgery
spelling doaj.art-42789805cdda434e9b4a2d13e4bf13d32022-12-22T02:39:59Zenguniversity of basrahBasrah Journal of Surgery1683-35892409-501X2002-12-01820010.33762/bsurg.2002.5518655186Cataract Extraction under Topical-SubconjunctivitalMohammed Z. Al-SherifiSalam N. AsfarLocal anaesthesia for ophthalmic surgical techniques is achieving prevalence now. Various local procedures were described in the literature including retrobulbar, peribulbar, subconjunctival and topical anaesthesia. This study endeavor to ascertain the efficacy of lidocaine topical-subconjunctival anesthesia technique combined with neuroleptic sedation-analgesia consisting of fentanyl and droperidol in cataract surgery, and to test patient's and surgeon's satisfaction with this method. Sixty five patients with mature cataract age range 55-70 years were scheduled for cataract extraction. Patients were 36 male and 29 female. Topical and subconjunctival local anaesthesia was supplemented by intravenous sedative and analgesic medication consisting of 50g fentanyl and 2.5 mg droperidol. A special patient's pain scoring system used in this study with another intraoperative surgeon's satisfaction score to test the reliability of this method. All patients had successful cataract extraction with an average surgery time of 20-25 minutes. Patients had minimal or no movement during surgery. No patient required additional supplement of anaesthesia as there were no intolerable pain. No postoperative complications. Cataract surgery can be safely and effectively performed by surgeons converting to topical anesthesia using this methodhttps://bjsrg.uobasrah.edu.iq/article_55186_c464b994cea78c6a68b8d2f7a8febac9.pdf
spellingShingle Mohammed Z. Al-Sherifi
Salam N. Asfar
Cataract Extraction under Topical-Subconjunctivital
Basrah Journal of Surgery
title Cataract Extraction under Topical-Subconjunctivital
title_full Cataract Extraction under Topical-Subconjunctivital
title_fullStr Cataract Extraction under Topical-Subconjunctivital
title_full_unstemmed Cataract Extraction under Topical-Subconjunctivital
title_short Cataract Extraction under Topical-Subconjunctivital
title_sort cataract extraction under topical subconjunctivital
url https://bjsrg.uobasrah.edu.iq/article_55186_c464b994cea78c6a68b8d2f7a8febac9.pdf
work_keys_str_mv AT mohammedzalsherifi cataractextractionundertopicalsubconjunctivital
AT salamnasfar cataractextractionundertopicalsubconjunctivital