Journal ArticleDOI
Use of topical anesthesia alone in cataract surgery.
TLDR
Because the vital signs were essentially unchanged during surgery, I believe patients were very comfortable despite having no intravenous sedation.Abstract:
Purpose: To evaluate pain and discomfort experienced by patients who have uncomplicated cataract extraction using topical anesthesia with no intravenous sedation. Setting: Fichman Eye Center, Manchester, Connecticut. Methods: Blood pressure, heart rate, and respiration were measured preoperatively, during cataract surgery, and postoperatively in 100 randomly selected patients. The average of these measurements (procedural vital) was compared with the blood pressure, heart rate, and respiration levels during surgery. Results: On average, patients had a negligible increase in blood pressure (1 %), a small decrease in heart rate (2%), and a slight decrease in respiration (1 %). Conclusion: Because the vital signs were essentially unchanged during surgery, I believe patients were very comfortable despite having no intravenous sedation.read more
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Journal ArticleDOI
Phacoemulsification and modern cataract surgery.
Eric J Linebarger,David R. Hardten,David R. Hardten,Gaurav K. Shah,Richard L. Lindstrom,Richard L. Lindstrom +5 more
TL;DR: Improved surgical techniques for removing the anterior lens capsule have decreased the incidence of both intraoperative and postoperative capsular complications, and continual evolution of this technology promises to further improve patient outcomes after cataract surgery.
Journal ArticleDOI
A comparative study of topical vs retrobulbar anesthesia in complicated cataract surgery.
TL;DR: Surgery-related complications and patient discomfort were similar for the 2 methods of anesthesia, and topical anesthesia was justified as a means of improving safety without causing discomfort to the patient even in complicated cases of cataract surgery.
Journal ArticleDOI
Provision of anesthesia with single application of lidocaine 2% gel.
TL;DR: In this paper, the authors compared the efficacy of a single application of lidocaine 2% gel with tetracaine 0.5% drops for topical anesthesia in clear corneal cataract surgery.
Journal ArticleDOI
A randomized clinical trial of combined topical-intracameral anesthesia in cataract surgery
Sung Huei Tseng,Fred K. Chen +1 more
TL;DR: Although topical lidocaine alone provides adequate anesthesia for phacoemulsification and implantation of a foldable IOL, combined topical and intracameral administration of lidocane can further minimize intraoperative discomfort.
Journal ArticleDOI
Phacoemulsification with topical anesthesia: Resident experience
Mustafa Unal,İclal Yücel,Ahmet Sarici,Özgür Artunay,Kazım Devranoğlu,Yusuf Akar,Meryem Altin +6 more
TL;DR: When supervised and in selected patients, residents who have no retrobulbar or peribulbar anesthesia experience can safely perform phacoemulsification using topical anesthesia.