Comparison of subtenon anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery
<b>Purpose: </b> To compare the safety and efficacy of subtenon anaesthesia with peribulbar anaesthesia in manual small incision cataract surgery using a randomised control clinical trial.<b> Method: </b> One hundred and sixty-eight patients were randomised to subtenon and p...
| Main Authors: | , , , , , |
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2005-01-01
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| Series: | Indian Journal of Ophthalmology |
| Subjects: | |
| Online Access: | http://www.ijo.in/article.asp?issn=0301-4738;year=2005;volume=53;issue=4;spage=255;epage=259;aulast=Parkar |
| _version_ | 1811262800924770304 |
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| author | Parkar Tasneem Gogate Parikshit Deshpande Madan Adenwala Arif Maske Amar Verappa K |
| author_facet | Parkar Tasneem Gogate Parikshit Deshpande Madan Adenwala Arif Maske Amar Verappa K |
| author_sort | Parkar Tasneem |
| collection | DOAJ |
| description | <b>Purpose: </b> To compare the safety and efficacy of subtenon anaesthesia with peribulbar anaesthesia in manual small incision cataract surgery using a randomised control clinical trial.<b> Method: </b> One hundred and sixty-eight patients were randomised to subtenon and peribulbar groups with preset criteria after informed consent. All surgeries were performed by four surgeons. Pain during administration of anaesthesia, during surgery and 4 h after surgery was graded on a visual analogue pain scale and compared for both the techniques. Sub-conjuntival haemorrhage, chemosis, akinesia after administration of anaesthesia and positive pressure during surgery were also compared. Patients were followed up for 6 weeks postoperatively.<b> Results: </b> About 146/168 (86.9%) patients completed the six-week follow-up. Thirty-one out of 88 (35.2%) patients of peribulbar group and 62/80(77.5%) of subtenon group experienced no pain during administration of anaesthesia. There was no significant difference in pain during and 4 h after surgery. Subtenon group had slightly more sub-conjunctival haemorrhage. About 57 (64.8%) patients of the peribulbar group had absolute akinesia during surgery as compared to none (0%) in sub-tenon group. There was no difference in intraoperative and postoperative complications and final visual acuity.<b> Conclusion: </b> Sub-tenon anaesthesia is safe and as effective as peribulbar anaesthesia and is more comfortable to the patient at the time of administration. |
| first_indexed | 2024-04-12T19:33:10Z |
| format | Article |
| id | doaj.art-6dd51bc89afe4ed29cc127354ad80bf4 |
| institution | Directory Open Access Journal |
| issn | 0301-4738 |
| language | English |
| last_indexed | 2024-04-12T19:33:10Z |
| publishDate | 2005-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Indian Journal of Ophthalmology |
| spelling | doaj.art-6dd51bc89afe4ed29cc127354ad80bf42022-12-22T03:19:17ZengWolters Kluwer Medknow PublicationsIndian Journal of Ophthalmology0301-47382005-01-01534255259Comparison of subtenon anaesthesia with peribulbar anaesthesia for manual small incision cataract surgeryParkar TasneemGogate ParikshitDeshpande MadanAdenwala ArifMaske AmarVerappa K<b>Purpose: </b> To compare the safety and efficacy of subtenon anaesthesia with peribulbar anaesthesia in manual small incision cataract surgery using a randomised control clinical trial.<b> Method: </b> One hundred and sixty-eight patients were randomised to subtenon and peribulbar groups with preset criteria after informed consent. All surgeries were performed by four surgeons. Pain during administration of anaesthesia, during surgery and 4 h after surgery was graded on a visual analogue pain scale and compared for both the techniques. Sub-conjuntival haemorrhage, chemosis, akinesia after administration of anaesthesia and positive pressure during surgery were also compared. Patients were followed up for 6 weeks postoperatively.<b> Results: </b> About 146/168 (86.9%) patients completed the six-week follow-up. Thirty-one out of 88 (35.2%) patients of peribulbar group and 62/80(77.5%) of subtenon group experienced no pain during administration of anaesthesia. There was no significant difference in pain during and 4 h after surgery. Subtenon group had slightly more sub-conjunctival haemorrhage. About 57 (64.8%) patients of the peribulbar group had absolute akinesia during surgery as compared to none (0%) in sub-tenon group. There was no difference in intraoperative and postoperative complications and final visual acuity.<b> Conclusion: </b> Sub-tenon anaesthesia is safe and as effective as peribulbar anaesthesia and is more comfortable to the patient at the time of administration.http://www.ijo.in/article.asp?issn=0301-4738;year=2005;volume=53;issue=4;spage=255;epage=259;aulast=Parkarmanual small incision cataract surgery; peribulbar anaesthesia; sub-tenon anaesthesia |
| spellingShingle | Parkar Tasneem Gogate Parikshit Deshpande Madan Adenwala Arif Maske Amar Verappa K Comparison of subtenon anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery Indian Journal of Ophthalmology manual small incision cataract surgery; peribulbar anaesthesia; sub-tenon anaesthesia |
| title | Comparison of subtenon anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery |
| title_full | Comparison of subtenon anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery |
| title_fullStr | Comparison of subtenon anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery |
| title_full_unstemmed | Comparison of subtenon anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery |
| title_short | Comparison of subtenon anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery |
| title_sort | comparison of subtenon anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery |
| topic | manual small incision cataract surgery; peribulbar anaesthesia; sub-tenon anaesthesia |
| url | http://www.ijo.in/article.asp?issn=0301-4738;year=2005;volume=53;issue=4;spage=255;epage=259;aulast=Parkar |
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