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Randomized clinical trial of topical versus peribulbar anaesthesia in cataract surgery by phacoemulsification foldable IOL technique to assess (qualitatively) patient satisfaction and postoperatively clinical outcomes

Poster Details

First Author: R.Deshpande INDIA

Co Author(s):    M. Deshpande   K. Dole   S. Kulkarni   K. Shishode   M. Dedhia  

Abstract Details

Purpose:

To assess clinically and compare patient and surgeon satisfaction (qualitatively) in cataract surgery postoperatively between topical and peribulbar anaesthesia by phacoemulsification foldable IOL technique

Setting:

The study was conducted in P.B.M.A’s H.V.Desai Eye Hospital Pune Maharashtra India

Methods:

1000 Patients between the age of 40 to 75 years were randomized to topical and peribulbar group(500 in each arm) with uncomplicated senile cataracts and no history of previous ocular co-morbidities.Patient satisfaction was assessed based on a questionnaire consisting of pts acceptance to the anesthesia, intra operative and postoperative pain.Surgeon satisfaction was also gauged based on a questionnaire on anterior chamber stability, pt co operation, and akinesia and was scored accordingly

Results:

Complications rate differed significantly between the 2 groups (p value<0.05). Anesthesia-related Pain, Chemosis,Lid Hematoma, occurred in the Peribulbar group.37 patients required supplemental anesthesia in topical group (15-Subtenons Lignocaine,22-Intracameral Lignocaine).Posterior Capsular tear was seen only in the Topical group.Intraoperative iris prolapse-3 patients of topical group,1 patient of peribulbar group.Corneal edema was significant in topical group (p value 0.009) while Iritis was more in peribulbar group(p value 0.54).The post operative pain score did not show any statistical significant difference in the two groups (p value 0.549).Visual acuity did not differ much in the two groups with topical group having slightly better vision

Conclusions:

Peribulbar anesthesia provides statistically significantly better patient satisfaction in comparison to topical anesthesia during cataract surgery. Operating conditions from the surgeon's point of view were also superior with the peribulbar block than with topical anesthesia.However type of anesthesia can be individualized depending on patients co operation, surgeon skill and clinical profile of patient

Financial Disclosure:

NONE

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