Evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedure
Background and aim: Local anesthesia nowadays became more popular in the ophthalmic surgery, especially in implantable collamer lens (ICL) procedure, with fewer complications and more patient satisfaction. Here we design a study to evaluate deep topical fornix nerve block (DTFNBA) versus topical ane...
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Taylor & Francis Group
2016-07-01
|
| Series: | Egyptian Journal of Anaesthesia |
| Subjects: | |
| Online Access: | http://www.sciencedirect.com/science/article/pii/S1110184916300228 |
| _version_ | 1819103342258814976 |
|---|---|
| author | Sherif Eissa Hassan Mohamed Ali Hany Maher |
| author_facet | Sherif Eissa Hassan Mohamed Ali Hany Maher |
| author_sort | Sherif Eissa |
| collection | DOAJ |
| description | Background and aim: Local anesthesia nowadays became more popular in the ophthalmic surgery, especially in implantable collamer lens (ICL) procedure, with fewer complications and more patient satisfaction. Here we design a study to evaluate deep topical fornix nerve block (DTFNBA) versus topical anesthesia.
Methods: A double blinded randomized prospective controlled study of 107 eyes that were scheduled for implantable collamer lens procedure was included and divided randomly into two groups, group I topical anesthesia (n = 53), group II DTFNBA (n = 54). The two groups were monitored for pain and patient compliance.
Results: In group I, receiving topical anesthesia 27 patients (50.09%) reported pain, especially with implantation of the lens, tucking of the lens footplates and peripheral iridectomy that necessitated intracameral lidocaine injection. The others (n = 26) showed different grades of discomfort that was tolerated without the need for intracameral lidocaine. 40 patients (74.07%) in group II (DTFNBA), tolerated the surgery well, and slight discomfort was reported as a sensation of heaviness during the tucking of footplates. None of the patients had pain strong enough to require intracameral injection of lidocaine (p < 0.05).
Conclusions: Placing the anesthetic in the fornix makes the DTFNBA more effective and reliable block. |
| first_indexed | 2024-12-22T01:48:56Z |
| format | Article |
| id | doaj.art-8509174a8d154c10ac9f0b90f9b0301e |
| institution | Directory Open Access Journal |
| issn | 1110-1849 |
| language | English |
| last_indexed | 2024-12-22T01:48:56Z |
| publishDate | 2016-07-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Egyptian Journal of Anaesthesia |
| spelling | doaj.art-8509174a8d154c10ac9f0b90f9b0301e2022-12-21T18:42:58ZengTaylor & Francis GroupEgyptian Journal of Anaesthesia1110-18492016-07-0132340340710.1016/j.egja.2016.03.005Evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedureSherif Eissa0Hassan Mohamed Ali1Hany Maher2Ophthalmology Department, Cairo University, Cairo, EgyptAnesthesia Department, Cairo University, EgyptAnesthesia Department, Ain Shams University, EgyptBackground and aim: Local anesthesia nowadays became more popular in the ophthalmic surgery, especially in implantable collamer lens (ICL) procedure, with fewer complications and more patient satisfaction. Here we design a study to evaluate deep topical fornix nerve block (DTFNBA) versus topical anesthesia. Methods: A double blinded randomized prospective controlled study of 107 eyes that were scheduled for implantable collamer lens procedure was included and divided randomly into two groups, group I topical anesthesia (n = 53), group II DTFNBA (n = 54). The two groups were monitored for pain and patient compliance. Results: In group I, receiving topical anesthesia 27 patients (50.09%) reported pain, especially with implantation of the lens, tucking of the lens footplates and peripheral iridectomy that necessitated intracameral lidocaine injection. The others (n = 26) showed different grades of discomfort that was tolerated without the need for intracameral lidocaine. 40 patients (74.07%) in group II (DTFNBA), tolerated the surgery well, and slight discomfort was reported as a sensation of heaviness during the tucking of footplates. None of the patients had pain strong enough to require intracameral injection of lidocaine (p < 0.05). Conclusions: Placing the anesthetic in the fornix makes the DTFNBA more effective and reliable block.http://www.sciencedirect.com/science/article/pii/S1110184916300228DTFNBA-topical anesthesia-ICL |
| spellingShingle | Sherif Eissa Hassan Mohamed Ali Hany Maher Evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedure Egyptian Journal of Anaesthesia DTFNBA-topical anesthesia-ICL |
| title | Evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedure |
| title_full | Evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedure |
| title_fullStr | Evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedure |
| title_full_unstemmed | Evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedure |
| title_short | Evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedure |
| title_sort | evaluation of deep topical fornix block versus topical anesthesia in patients undergoing implantable collamer lens procedure |
| topic | DTFNBA-topical anesthesia-ICL |
| url | http://www.sciencedirect.com/science/article/pii/S1110184916300228 |
| work_keys_str_mv | AT sherifeissa evaluationofdeeptopicalfornixblockversustopicalanesthesiainpatientsundergoingimplantablecollamerlensprocedure AT hassanmohamedali evaluationofdeeptopicalfornixblockversustopicalanesthesiainpatientsundergoingimplantablecollamerlensprocedure AT hanymaher evaluationofdeeptopicalfornixblockversustopicalanesthesiainpatientsundergoingimplantablecollamerlensprocedure |