Ibáñez HMA, Calderón BDI, Eugarrios LMF

Language: Spanish
References: 15
Page: 330-332
PDF size: 34.58 Kb.

ABSTRACT

Objective: To evaluate the efficacy of topical anesthesia and topical+intracameral anesthesia in phacoemulsification.
Materials and methods: 105 patients with senile cataract were submitted to phacoemulsification with intraocular lens implant.
Topical anesthesia group (n=64) and topical+intracameral anesthesia group (n=41) with xylocaine 1% preservative free in the infusion bottle. Cataract type, transoperative and immediately postoperative pain and vital sign during surgery were evaluated.
Results: Mean age 67.63 years (49-89), 55 female (52.38%) and 50 male (47.61%). Cataract grade II (17.14%), III (59.04%), IV (17.14%) and complete opacification (total) (6.66%). 12 patients presented mild pain: 9(14.75%) in the topical anesthesia group and 3(7.31%) with P=0.35 in the topical+intracameral anesthesia group during nucleus rotating in grade IV and completely opacified cataracts, vital signs were stable.
Conclusion: Topical anesthesia is both safe and affective in phacoemulsification. Topical+intracameral anesthesia is better in greater density cataract cases.

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