Manual small-incision cataract surgery under topical anesthesia
Manual small-incision cataract surgery is one of the most common surgical procedures in ophthalmology. Most cataract surgeries are performed under local anaesthesia. Peribulbar or retrobulbar anaesthesia is commonly used to achieve analgesia and akinesia during surgery but it has various complicatio...
| Main Authors: | , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wolters Kluwer Medknow Publications
2022-01-01
|
| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=4026;epage=4028;aulast=Tumbadi |
| _version_ | 1798018658239250432 |
|---|---|
| author | Kavitha L Tumbadi Kalpana B Nagaraj Akhila Mathew Shilpa Y Devegowda B C Hemalatha |
| author_facet | Kavitha L Tumbadi Kalpana B Nagaraj Akhila Mathew Shilpa Y Devegowda B C Hemalatha |
| author_sort | Kavitha L Tumbadi |
| collection | DOAJ |
| description | Manual small-incision cataract surgery is one of the most common surgical procedures in ophthalmology. Most cataract surgeries are performed under local anaesthesia. Peribulbar or retrobulbar anaesthesia is commonly used to achieve analgesia and akinesia during surgery but it has various complications. Our aim was to study patient comfort and surgeon's perspective in terms of patient cooperation in MSICS under topical anaesthesia using only proparacaine 0.5% eye drops without any periocular block or intracameral drug. Also to popularise Topical MSICS similar to Topical Phacoemulsification. A prospective analytical study of 33 patients who underwent MSICS surgery from March 2022 to June 2022 using Topical proparacaine eye drops 0.5% was done and patient's comfort and surgeon's perspective in terms of patient cooperation was studied on a scale of 1-5. Out of 33 patients who underwent surgery, the average comfort score based on patient feedback was 3.45± 0.96 and average patient cooperation score based on surgeon assessment was 3.42 ± 1.07 on a scale of 1-5. We concluded that MSICS using only topical proparacaine 0.5% eye drops, can provide sufficient patient comfort and can avoid complications related to peribulbar anaesthesia. Hence it can be used in large scale cataract surgeries and also provides economical utilisation of resources, lesser complications and early post operative recovery without compromising surgical outcome. |
| first_indexed | 2024-04-11T16:28:01Z |
| format | Article |
| id | doaj.art-5a378d11a524456d9cee85f964ddd96a |
| institution | Directory Open Access Journal |
| issn | 0301-4738 1998-3689 |
| language | English |
| last_indexed | 2024-04-11T16:28:01Z |
| publishDate | 2022-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-5a378d11a524456d9cee85f964ddd96a2022-12-22T04:14:06ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47381998-36892022-01-0170114026402810.4103/ijo.IJO_1742_22Manual small-incision cataract surgery under topical anesthesiaKavitha L TumbadiKalpana B NagarajAkhila MathewShilpa Y DevegowdaB C HemalathaManual small-incision cataract surgery is one of the most common surgical procedures in ophthalmology. Most cataract surgeries are performed under local anaesthesia. Peribulbar or retrobulbar anaesthesia is commonly used to achieve analgesia and akinesia during surgery but it has various complications. Our aim was to study patient comfort and surgeon's perspective in terms of patient cooperation in MSICS under topical anaesthesia using only proparacaine 0.5% eye drops without any periocular block or intracameral drug. Also to popularise Topical MSICS similar to Topical Phacoemulsification. A prospective analytical study of 33 patients who underwent MSICS surgery from March 2022 to June 2022 using Topical proparacaine eye drops 0.5% was done and patient's comfort and surgeon's perspective in terms of patient cooperation was studied on a scale of 1-5. Out of 33 patients who underwent surgery, the average comfort score based on patient feedback was 3.45± 0.96 and average patient cooperation score based on surgeon assessment was 3.42 ± 1.07 on a scale of 1-5. We concluded that MSICS using only topical proparacaine 0.5% eye drops, can provide sufficient patient comfort and can avoid complications related to peribulbar anaesthesia. Hence it can be used in large scale cataract surgeries and also provides economical utilisation of resources, lesser complications and early post operative recovery without compromising surgical outcome.http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=4026;epage=4028;aulast=Tumbadimsicssurgical techniquetopical anesthesia |
| spellingShingle | Kavitha L Tumbadi Kalpana B Nagaraj Akhila Mathew Shilpa Y Devegowda B C Hemalatha Manual small-incision cataract surgery under topical anesthesia Indian Journal of Ophthalmology msics surgical technique topical anesthesia |
| title | Manual small-incision cataract surgery under topical anesthesia |
| title_full | Manual small-incision cataract surgery under topical anesthesia |
| title_fullStr | Manual small-incision cataract surgery under topical anesthesia |
| title_full_unstemmed | Manual small-incision cataract surgery under topical anesthesia |
| title_short | Manual small-incision cataract surgery under topical anesthesia |
| title_sort | manual small incision cataract surgery under topical anesthesia |
| topic | msics surgical technique topical anesthesia |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2022;volume=70;issue=11;spage=4026;epage=4028;aulast=Tumbadi |
| work_keys_str_mv | AT kavithaltumbadi manualsmallincisioncataractsurgeryundertopicalanesthesia AT kalpanabnagaraj manualsmallincisioncataractsurgeryundertopicalanesthesia AT akhilamathew manualsmallincisioncataractsurgeryundertopicalanesthesia AT shilpaydevegowda manualsmallincisioncataractsurgeryundertopicalanesthesia AT bchemalatha manualsmallincisioncataractsurgeryundertopicalanesthesia |