Indian Journal of Clinical and Experimental Ophthalmology (IJCEO) is open access, a peer-reviewed medical journal, published quarterly, online, and in print, by the Innovative Education and Scientific Research Foundation (IESRF) since 2015. To fulfill our aim of rapid dissemination of knowledge, we publish articles ‘Ahead of Print’ on acceptance. In addition, the journal allows free more...
Author Details :
Volume : 5, Issue : 1, Year : 2019
Article Page : 44-47
To see the effectiveness of topical anesthesia; topical proparacaine 0.5% versus xylocaine (Lidocaine) gel 2%, during cataract surgery. This Prospective study was carried out in Ophthalmology department, Maharani Laxmi Bai Medical College, Jhansi, Uttar Pradesh, for 6 months from Oct. 2017 to March 2018’to evaluate the patients and surgeon’s satisfaction at the end of the procedure. Total 100 number of patients (100 eyes) were included in the study, divided into, Group A receiving Xylocaine Gel 2% as topical anaesthesia and Group B receiving proparacaine 0.5% as topical anaesthesia patients were properly explained about the procedure. All 100 surgeries were conducted by single surgeon and same method of surgery was used in all patients i.e. phacoemulsification with foldable intraocular lens implantation. No patients had severe pain in either group during the procedure; 6% (3 of 50) required use of adjunctive peribulbar anaesthesia in Group B while only 2% (1 of 50) required additional peribulbar block in Group A satisfaction rate for both surgeon and patient were high. There was no eye movement and blepharospasm related problems and no serious complications occurred. Rate of vitreous loss due to posterior capsule tear/rupture was none. Topical anesthesia is a satisfactory and safe alternative to peribulbar block and xylocaine gel 2% has same effectiveness as topical proparacaine 0.5% for cataract surgery by phacoemulsification and IOL implantation.
Keywords: IOL, Phacoemulsification, Peribulbar anesthesia, Topical anesthesia.
How to cite : Kumar J, Sharma J, Xylocaine gel 2% vs proparacaine 0.5% as topical anaesthesia in phacoemulsification in Bundelkhand: A prospective comparative study. Indian J Clin Exp Ophthalmol 2019;5(1):44-47
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