TOPICAL ANESTHESIA FOR SMALL INCISION SELF-SEALING CATARACT-SURGERY - A PROSPECTIVE EVALUATION OF THE 1ST 100 PATIENTS

被引:112
作者
KERSHNER, RM
机构
关键词
PERIBULBAR ANESTHESIA; PHACOEMULSIFICATION; RETROBULBAR ANESTHESIA; SMALL INCISION CATARACT SURGERY; SUTURELESS CATARACT SURGERY; TOPICAL ANESTHESIA;
D O I
10.1016/S0886-3350(13)80958-3
中图分类号
R77 [眼科学];
学科分类号
100212 ;
摘要
Small incision self-sealing cataract surgery has created the opportunity to use less invasive anesthesia. One hundred patients were evaluated in a prospective study using a new technique of topical anesthesia to allow small incision construction, intercapsular phacoemulsification, and small incision intraocular lens implantation without a peribulbar or retrobulbar injection. This study demonstrated that topical anesthesia avoids the risk of globe perforation, retrobulbar hemorrhage, and prolonged postoperative akinesia of the eye and is effective for intraoperative anesthesia for cataract surgery.
引用
收藏
页码:290 / 292
页数:3
相关论文
共 7 条
[1]  
Arnold PN, Prospective study of a single-injection peribulbar technique, J Cataract Refract Surg, 18, pp. 157-161, (1992)
[2]  
Davis DB, Mandel MR, Peribulbar anesthesia: a review of technique and complications, Ophthalmic Clin North Am, 3, pp. 101-110, (1990)
[3]  
Whitsett JC, Balyeat HD, McClure B, Comparison of one injection site peribulbar anesthesia and retrobulbar anesthesia, J Cataract Refract Surg, 16, pp. 242-245, (1990)
[4]  
Meyers EF, Brainstem anesthesia after retrobulbar block, Arch Ophthalmol, 103, pp. 1278-1282, (1985)
[5]  
Smith JL, Retrobulbar bupivacaine can cause respiratory arrest (editorial), Ann Ophthalmol, 14, pp. 1005-1006, (1982)
[6]  
Kershner RM, One-step forceps for capsulorhexis, J Cataract Refractive Surgery, 16, pp. 762-765, (1990)
[7]  
Kershner RM, Sutureless one-handed intercapsular phacoemulsification-the keyhole technique, J Cataract Refract Surg, 17, pp. 719-725, (1991)