To Evaluate And Compare Patient Comfort Levels During Cataract Surgery In Office Based Surgery Using Topical Chloroprocaine Anesthesia Versus Sublingual Mko Melt.
Published 2025 - 43rd Congress of the ESCRS
Reference: FP24.12 | Type: Free paper | DOI: 10.82333/t4kh-7789
Authors: Dror Ben Ephraim Noyman 1 , Margarita Safir 2 , Adir Sommer* 3 , Waseem Nasser 3 , Tzahi Sela 4 , Gur Munzer 4 , Igor Kaiserman 5 , Michael Mimouni 6
1Ruth and Bruce Rappaport Faculty of Medicine,Technion - Israel Institute of Technology,Haifa,Israel;Ophthalmology,Rambam Health Care Campus,Haifa,Israel, 2Rabin Medical Center,Petah Tikva,Israel;Tel Aviv University,Sackler School of Medicine,Tel Aviv,Israel, 3Ophthalmology,Rambam Health Care Campus,Haifa,Israel;Ruth and Bruce Rappaport Faculty of Medicine,Technion - Israel Institute of Technology,Haifa,Israel, 4Care-Vision Laser Center,Tel Aviv,Israel, 5Care-Vision Laser Center,Tel Aviv,Israel;Ophthalmology,Barzilai Medical Center,Ashkelon,Israel;Faculty of Health Sciences,Ben-Gurion University of the Negev,Beer Sheba,Israel, 6Ophthalmology,Rambam Health Care Campus,Haifa,Israel;Ruth and Bruce Rappaport Faculty of Medicine,Technion - Israel Institute of Technology,Haifa,Israel;Care-Vision Laser Center,Tel Aviv,Israel
Purpose
Purpose: To Evaluate And Compare Patient Comfort Levels During Cataract Surgery In Office Based Surgery Using Topical Chloroprocaine Anesthesia Versus Sublingual Mko Melt.
Setting
Single surgeon, Teaching Private Practice
Methods
Methods: In This Prospective Study, 15 Patients Scheduled For Cataract Surgery Were Enrolled. Each Patient Underwent The Procedure In An Office Based Surgery Suite With The Same Surgeon, With Topical Chloroprocaine For One Eye And A Sublingual Mko (Midazolam Ketamine Hcl, And Ondansetron) Tablet As The Primary Anesthetic Agent For The Other Eye. Patient Comfort Was Assessed With A Standardized Questionnaire During Surgery, Immediately Post-surgery, And Day One Post Surgery, Focusing On Pain Levels, Anxiety, And Overall Satisfaction With The Anesthetic Method.
Results
Results: All 15 Patients Reported A Clear Preference For Topical Chloroprocaine Over The Sublingual Mko Melt. The Primary Reasons Cited Were Better Intraoperative Comfort, And A More Favorable Recovery Experience. 100% Of The Patients Indicated They Would Prefer Topical Chloroprocaine For Future Surgeries.
Conclusions
Conclusion: Topical Chloroprocaine Was Unanimously Preferred Compared To Sublingual Mko Tablet By All Patients Based On Awareness Of Surgery And Responsiveness To Surgeon Directions, Higher Comfort, And Pleasant Experience, Including Immediate Postoperative Mobility, With No Drowsiness. This Preference For Topical Chloroprocaine Underscores The Trend For Premium Cataract Surgery in Office based surgical suites Where Enhanced Patient Comfort Along With Minimalistic Medications Will Define Their Premium Experience.