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A comparative study of subtenon’s anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery in patients with age related cataracts

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Original Article

Author Details : Gayatri Bhonsale*, Ishita Mehta, Priyanka Hitesh Gandhi, Reshma Ramakrishnan, Syed Faraaz Hussain

Volume : 8, Issue : 3, Year : 2022

Article Page : 409-416

https://doi.org/10.18231/j.ijceo.2022.083

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Abstract

Aim: To compare the safety, efficacy and ease of administration of subtenon’s anaesthesia with peribulbar anaesthesia in manual small incision cataract surgery(MSICS) and assess the surgeon and patient comfort.
Settings and Design: A prospective longitudinal study was conducted among 200 patients undergoing MSICS at a rural tertiary care hospital wherein patients were randomly divided into the two groups of peribulbar (P) and subtenon’s (ST) block.
Materials and Methods: After randomization, 200 patients were assessed for various factors including pain at the time of administration of anaesthetic, time to attain akinesia, patient’s comfort and satisfaction score.
Results: 200 eyes of 200 patients who underwent MSCIS were divided into Peribulbar and Subtenon’s group by random number table; of which 122 were women (61%) and 78 were men (39%). There was a significant difference in the amount of anaesthetic used, with the group P (8.37+1.19 ml) usage being more than the group ST(4.02+0.91 ml) (p<0 p=0.008)> Results: Significantly greater number of eyes in group ST had mild and moderate chemosis and subconjunctival haemorrhage compared to group P(p<0> Conclusion: We found that subtenon’s anaesthesia was an equally effective technique for achieving analgesia and akinesia when compared to peribulbar anaesthesia in patients undergoing MSICS.

Keywords : Key­words: Subtenon's, Peribulbar, MSICS

How to cite : Bhonsale G, Mehta I, Gandhi P H, Ramakrishnan R, Hussain S F, A comparative study of subtenon’s anaesthesia with peribulbar anaesthesia for manual small incision cataract surgery in patients with age related cataracts. Indian J Clin Exp Ophthalmol 2022;8(3):409-416

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