Topical anaesthesia for phacoemulsification surgery
Although phacoemulsification with only topical anaesthesia is possible, the level of any discomfort perceived by the patient is unknown. Topical anaesthesia eliminates any risk of inadvertent ocular or orbital injury. Twenty-four patients undergoing phacoemulsification under only topical anaesthesia...
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| Veröffentlicht in: | Eye (London) 1995-01, Vol.9 (4), p.456-459 |
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| creator | Duguid, I G M Claoué, C M P Thamby-Rajah, Y Allan, B D S Dart, J K G Steele, A D McG |
| description | Although phacoemulsification with only topical anaesthesia is possible, the level of any discomfort perceived by the patient is unknown. Topical anaesthesia eliminates any risk of inadvertent ocular or orbital injury. Twenty-four patients undergoing phacoemulsification under only topical anaesthesia (g. amethocaine 1%) were compared with 23 patients undergoing the same procedure with peribulbar anaesthesia (5 ml lignocaine 2%, 5 ml bupivacaine 0.5% and 75 units hyaluronidase). Perceived pain on administration of the anaesthesia, per-operatively and post-operatively was assessed by a nursing officer using a visual analogue scale (0-10). It was found that there was no difference in pain score between the two groups on induction of anaesthesia. Per-operatively and post-operatively scores were higher in the topical group than in the peribulbar group (p |
| doi_str_mv | 10.1038/eye.1995.106 |
| format | Article |
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Topical anaesthesia eliminates any risk of inadvertent ocular or orbital injury. Twenty-four patients undergoing phacoemulsification under only topical anaesthesia (g. amethocaine 1%) were compared with 23 patients undergoing the same procedure with peribulbar anaesthesia (5 ml lignocaine 2%, 5 ml bupivacaine 0.5% and 75 units hyaluronidase). Perceived pain on administration of the anaesthesia, per-operatively and post-operatively was assessed by a nursing officer using a visual analogue scale (0-10). It was found that there was no difference in pain score between the two groups on induction of anaesthesia. Per-operatively and post-operatively scores were higher in the topical group than in the peribulbar group (p<0.05, Mann-Whitney U-test), though most of these were within the range 0-3, (‘no pain’ to ‘slight pain’). There was no difference in the amount of analgesia dispensed to the two groups on the ward post-operatively. In conclusion, topical anaesthesia provides adequate anaesthesia for phacoemulsification. Although a small increase in the level of discomfort was observed, the pain levels reported were small and may not be clinically significant when set against the reduced incidence of anaesthetic-related complications.</description><identifier>ISSN: 0950-222X</identifier><identifier>EISSN: 1476-5454</identifier><identifier>DOI: 10.1038/eye.1995.106</identifier><identifier>PMID: 7498566</identifier><identifier>CODEN: EYEEEC</identifier><language>eng</language><publisher>London: Nature Publishing Group UK</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Anesthesia ; Anesthesia depending on type of surgery ; Anesthesia, Local ; Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy ; Anesthetics, Local - administration & dosage ; Biological and medical sciences ; Bupivacaine - administration & dosage ; Female ; Humans ; Injections, Intramuscular ; Laboratory Medicine ; Lidocaine - administration & dosage ; Male ; Medical sciences ; Medicine ; Medicine & Public Health ; Middle Aged ; Ophthalmic Solutions ; Ophthalmology ; Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics ; Pain Measurement ; Pain, Postoperative ; Phacoemulsification ; Pharmaceutical Sciences/Technology ; Surgery ; Surgical Oncology ; Tetracaine - administration & dosage</subject><ispartof>Eye (London), 1995-01, Vol.9 (4), p.456-459</ispartof><rights>Royal College of Ophthalmologists 1995</rights><rights>1995 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c391t-31ebdca9a76eaa8bc8a5e2b8cc7dc806cf20dbe8f2ecacfe4dfe49a0de2a31b53</citedby><cites>FETCH-LOGICAL-c391t-31ebdca9a76eaa8bc8a5e2b8cc7dc806cf20dbe8f2ecacfe4dfe49a0de2a31b53</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1038/eye.1995.106$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1038/eye.1995.106$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=3661170$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/7498566$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Duguid, I G M</creatorcontrib><creatorcontrib>Claoué, C M P</creatorcontrib><creatorcontrib>Thamby-Rajah, Y</creatorcontrib><creatorcontrib>Allan, B D S</creatorcontrib><creatorcontrib>Dart, J K G</creatorcontrib><creatorcontrib>Steele, A D McG</creatorcontrib><title>Topical anaesthesia for phacoemulsification surgery</title><title>Eye (London)</title><addtitle>Eye</addtitle><addtitle>Eye (Lond)</addtitle><description>Although phacoemulsification with only topical anaesthesia is possible, the level of any discomfort perceived by the patient is unknown. Topical anaesthesia eliminates any risk of inadvertent ocular or orbital injury. Twenty-four patients undergoing phacoemulsification under only topical anaesthesia (g. amethocaine 1%) were compared with 23 patients undergoing the same procedure with peribulbar anaesthesia (5 ml lignocaine 2%, 5 ml bupivacaine 0.5% and 75 units hyaluronidase). Perceived pain on administration of the anaesthesia, per-operatively and post-operatively was assessed by a nursing officer using a visual analogue scale (0-10). It was found that there was no difference in pain score between the two groups on induction of anaesthesia. Per-operatively and post-operatively scores were higher in the topical group than in the peribulbar group (p<0.05, Mann-Whitney U-test), though most of these were within the range 0-3, (‘no pain’ to ‘slight pain’). There was no difference in the amount of analgesia dispensed to the two groups on the ward post-operatively. In conclusion, topical anaesthesia provides adequate anaesthesia for phacoemulsification. Although a small increase in the level of discomfort was observed, the pain levels reported were small and may not be clinically significant when set against the reduced incidence of anaesthetic-related complications.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Anesthesia</subject><subject>Anesthesia depending on type of surgery</subject><subject>Anesthesia, Local</subject><subject>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</subject><subject>Anesthetics, Local - administration & dosage</subject><subject>Biological and medical sciences</subject><subject>Bupivacaine - administration & dosage</subject><subject>Female</subject><subject>Humans</subject><subject>Injections, Intramuscular</subject><subject>Laboratory Medicine</subject><subject>Lidocaine - administration & dosage</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Middle Aged</subject><subject>Ophthalmic Solutions</subject><subject>Ophthalmology</subject><subject>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</subject><subject>Pain Measurement</subject><subject>Pain, Postoperative</subject><subject>Phacoemulsification</subject><subject>Pharmaceutical Sciences/Technology</subject><subject>Surgery</subject><subject>Surgical Oncology</subject><subject>Tetracaine - administration & dosage</subject><issn>0950-222X</issn><issn>1476-5454</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>1995</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNptkD1rwzAQhkVpSdO0W9eCh9KpTiV_SPJYQr8g0CWFbuIsnxoH23KleMi_j9KYTB2O43gf7o6HkFtG54ym8gl3OGdFkYeJn5EpywSP8yzPzsmUFjmNkyT5viRX3m8oDaGgEzIRWSFzzqckXdm-1tBE0AH67Rp9DZGxLurXoC22Q-NrE4BtbbvID-4H3e6aXBhoPN6MfUa-Xl9Wi_d4-fn2sXhexjot2DZOGZaVhgIERwBZagk5JqXUWlRaUq5NQqsSpUlQgzaYVaEKoBUmkLIyT2fk4bi3d_Z3CN-ptvYamwY6tINXQohMckED-HgEtbPeOzSqd3ULbqcYVQdHKjhSB0dh4gG_G_cOZYvVCR6lhPx-zMEHNcZBp2t_wlLOGfu7Gh8xH5IuiFEbO7guGPn_7B6tJYBd</recordid><startdate>19950101</startdate><enddate>19950101</enddate><creator>Duguid, I G M</creator><creator>Claoué, C M P</creator><creator>Thamby-Rajah, Y</creator><creator>Allan, B D S</creator><creator>Dart, J K G</creator><creator>Steele, A D McG</creator><general>Nature Publishing Group UK</general><general>Nature Publishing Group</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>19950101</creationdate><title>Topical anaesthesia for phacoemulsification surgery</title><author>Duguid, I G M ; Claoué, C M P ; Thamby-Rajah, Y ; Allan, B D S ; Dart, J K G ; Steele, A D McG</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c391t-31ebdca9a76eaa8bc8a5e2b8cc7dc806cf20dbe8f2ecacfe4dfe49a0de2a31b53</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>1995</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Anesthesia</topic><topic>Anesthesia depending on type of surgery</topic><topic>Anesthesia, Local</topic><topic>Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy</topic><topic>Anesthetics, Local - administration & dosage</topic><topic>Biological and medical sciences</topic><topic>Bupivacaine - administration & dosage</topic><topic>Female</topic><topic>Humans</topic><topic>Injections, Intramuscular</topic><topic>Laboratory Medicine</topic><topic>Lidocaine - administration & dosage</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Middle Aged</topic><topic>Ophthalmic Solutions</topic><topic>Ophthalmology</topic><topic>Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics</topic><topic>Pain Measurement</topic><topic>Pain, Postoperative</topic><topic>Phacoemulsification</topic><topic>Pharmaceutical Sciences/Technology</topic><topic>Surgery</topic><topic>Surgical Oncology</topic><topic>Tetracaine - administration & dosage</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Duguid, I G M</creatorcontrib><creatorcontrib>Claoué, C M P</creatorcontrib><creatorcontrib>Thamby-Rajah, Y</creatorcontrib><creatorcontrib>Allan, B D S</creatorcontrib><creatorcontrib>Dart, J K G</creatorcontrib><creatorcontrib>Steele, A D McG</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Eye (London)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Duguid, I G M</au><au>Claoué, C M P</au><au>Thamby-Rajah, Y</au><au>Allan, B D S</au><au>Dart, J K G</au><au>Steele, A D McG</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Topical anaesthesia for phacoemulsification surgery</atitle><jtitle>Eye (London)</jtitle><stitle>Eye</stitle><addtitle>Eye (Lond)</addtitle><date>1995-01-01</date><risdate>1995</risdate><volume>9</volume><issue>4</issue><spage>456</spage><epage>459</epage><pages>456-459</pages><issn>0950-222X</issn><eissn>1476-5454</eissn><coden>EYEEEC</coden><abstract>Although phacoemulsification with only topical anaesthesia is possible, the level of any discomfort perceived by the patient is unknown. Topical anaesthesia eliminates any risk of inadvertent ocular or orbital injury. Twenty-four patients undergoing phacoemulsification under only topical anaesthesia (g. amethocaine 1%) were compared with 23 patients undergoing the same procedure with peribulbar anaesthesia (5 ml lignocaine 2%, 5 ml bupivacaine 0.5% and 75 units hyaluronidase). Perceived pain on administration of the anaesthesia, per-operatively and post-operatively was assessed by a nursing officer using a visual analogue scale (0-10). It was found that there was no difference in pain score between the two groups on induction of anaesthesia. Per-operatively and post-operatively scores were higher in the topical group than in the peribulbar group (p<0.05, Mann-Whitney U-test), though most of these were within the range 0-3, (‘no pain’ to ‘slight pain’). There was no difference in the amount of analgesia dispensed to the two groups on the ward post-operatively. In conclusion, topical anaesthesia provides adequate anaesthesia for phacoemulsification. Although a small increase in the level of discomfort was observed, the pain levels reported were small and may not be clinically significant when set against the reduced incidence of anaesthetic-related complications.</abstract><cop>London</cop><pub>Nature Publishing Group UK</pub><pmid>7498566</pmid><doi>10.1038/eye.1995.106</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Anesthesia Anesthesia depending on type of surgery Anesthesia, Local Anesthesia. Intensive care medicine. Transfusions. Cell therapy and gene therapy Anesthetics, Local - administration & dosage Biological and medical sciences Bupivacaine - administration & dosage Female Humans Injections, Intramuscular Laboratory Medicine Lidocaine - administration & dosage Male Medical sciences Medicine Medicine & Public Health Middle Aged Ophthalmic Solutions Ophthalmology Orthopedic surgery. Maxillofacial surgery. Otorhinolaryngologic surgery. Stomatology. Ophtalmology. Investigation and treatment technics Pain Measurement Pain, Postoperative Phacoemulsification Pharmaceutical Sciences/Technology Surgery Surgical Oncology Tetracaine - administration & dosage |
| title | Topical anaesthesia for phacoemulsification surgery |
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