Topical anesthesia in phacotrabeculectomy

被引:19
作者
Lai, JSM
Tham, CCY
Lam, DSC
机构
[1] United Christian Hosp, Dept Ophthalmol, Kowloon, Hong Kong, Peoples R China
[2] Alice Ho Miu Ling Nethersole Hosp, Dept Ophthalmol, Hong Kong, Hong Kong, Peoples R China
[3] Chinese Univ Hong Kong, Hong Kong Eye Hosp, Dept Ophthalmol & Visual Sci, Kowloon, Hong Kong, Peoples R China
关键词
phacotrabeculectomy; topical anesthesia; lidocaine jelly;
D O I
10.1097/00061198-200206000-00017
中图分类号
R77 [眼科学];
学科分类号
100212 [眼科学];
摘要
Purpose: To study the safety and efficacy of topical anesthesia alone, without systemic sedation, in phacotrabeculectomy for cataract and primary open-angle glaucoma. Methods: In this prospective study, topical anesthesia with 2% lidocaine hydrochloride jelly without systemic sedation was used for combined phacoemulsification, posterior chamber intraocular lens implantation, and trabeculectomy in consecutive patients with primary open-angle glaucoma and concurrent cataract at the United Christian Hospital, Kowloon, Hong Kong, from September 2000 to May 2001. Visual analog pain score and change in vital signs were used to assess the intraoperative pain experience. Other outcome measures included postoperative visual acuity and intraocular pressure at 3 months. Results: Twenty-two eyes of 22 consecutive patients were included in the study. The mean intraoperative pain score was 0.9 (range, 0-3). Three patients reported discomfort intraoperatively. No injection of supplementary anesthetic was required in any of the eyes. None of the patients had significant increase of pulse rate or blood pressure during the whole surgical procedure. Six patients required oral analgesic for postoperative discomfort. The mean preoperative medically treated IOP was 20.3 +/- 5.9 mm Hg and the mean postoperative IOP at 3 months was 14.4 +/- 4.7 mm Hg. All except two patients had improved visual acuity. There was no serious intraoperative or postoperative complication. Conclusion: Topical 2% lidocaine hydrochloride jelly without systemic sedation may be a safe and effective anesthetic method in phacotrabeculectomy for patients with primary open-angle glaucoma with coexisting cataract.
引用
收藏
页码:271 / 274
页数:4
相关论文
共 14 条
[1]
CLAOVE C, 1977, OPHTHALMOLOGY, V25, P265
[2]
TOPICAL ANESTHESIA FOR PHACOEMULSIFICATION SURGERY [J].
DUGUID, IGM ;
CLAOUE, CMP ;
THAMBYRAJAH, Y ;
ALLAN, BDS ;
DART, JKG ;
STEELE, ADM .
EYE, 1995, 9 :456-459
[3]
DUKER JS, 1991, OPHTHALMOLOGY, V98, P519
[4]
Synthesis of the literature on the effectiveness of regional anesthesia for cataract surgery [J].
Friedman, DS ;
Bass, EB ;
Lubomski, LH ;
Fleisher, LA ;
Kempen, JH ;
Magaziner, J ;
Sprintz, M ;
Robinson, K ;
Schein, OD .
OPHTHALMOLOGY, 2001, 108 (03) :519-529
[5]
HAY A, 1991, OPHTHALMOLOGY, V98, P1017
[6]
JAVITT JC, 1987, OPHTHALMOLOGY, V94, P718
[8]
Anterior chamber irrigation with unpreserved lidocaine 1% for anesthesia during cataract surgery [J].
Koch, PS .
JOURNAL OF CATARACT AND REFRACTIVE SURGERY, 1997, 23 (04) :551-554
[9]
MORGAN CM, 1988, OPHTHALMOLOGY, V95, P660
[10]
PAUTLER SE, 1986, OPHTHALMIC SURG LAS, V17, P334