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Patient’s pain perception and surgeon satisfaction with topical anaesthsia in phacoemulsification surgery

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Original Article

Author Details : Ziya Siddiqui, Sheerin Fatima, Adeeb Alam Khan, Humayoun Ashraf, Syed Wajahat Ali Rizvi*

Volume : 9, Issue : 3, Year : 2023

Article Page : 348-353

https://doi.org/10.18231/j.ijceo.2023.066

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Abstract

Background: As the cataract surgery has taken the quantum leaps, so does the advancements in various anaesthetic techniques, aiming to provide a safer, painless and comfortable surgery. Topical anaesthesia is a less invasive anaesthetic option which provides adequate analgesia with wide margin of safety. We aimed to evaluate the efficacy of topical anaesthesia as a routine in a standard phacoemulsification surgery.
Materials and Methods: A total of 200 patients scheduled for routine phacoemulsification were enrolled in a prospective, non-randomized comparative clinical study. Patients were then distributed to either topical anaesthesia group (TA) or peribulbar anaesthesia group (PA) to evaluate for patient and surgeon satisfaction, and intraoperative complications.
Observations: The study groups were comparable demographically. Pain scores were higher during late stages of surgery in TA (p<0 p=0.027)> Conclusion: Despite higher per-operative pain perception most of the patients describe their surgical experience with topical anaesthesia as satisfactory. In view of its minimally invasive nature, topical anaesthesia is a safer alternative to peribulbar anaesthesia practically avoiding all block related complications especially in at risk eyes, and thus can be safely administered as a routine in phacoemulsification surgery.
 

Keywords: Topical, Peribulbar, Phacoemulsification, Pain, Satisfaction.

How to cite : Siddiqui Z, Fatima S, Khan A A, Ashraf H, Rizvi S W A, Patient’s pain perception and surgeon satisfaction with topical anaesthsia in phacoemulsification surgery. Indian J Clin Exp Ophthalmol 2023;9(3):348-353

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