PMID: 9176675May 1, 1997Paper

A comparison of blood pressure changes in phacoemulsification cataract surgery with topical and retrobulbar block local anesthesia

Graefe's Archive for Clinical and Experimental Ophthalmology = Albrecht Von Graefes Archiv Für Klinische Und Experimentelle Ophthalmologie
R SuzukiN Fujiwara

Abstract

Changes are observed in blood pressure (BP) levels during cataract surgery, although BPs are considered to remain stable under local anesthesia. We evaluated the daily, pre- and postoperative BPs of 2270 patients after cataract surgery performed under either topical anesthesia or retrobulbar block. All operations were performed by the same surgeon using the same method of phacoemulsification and aspiration with posterior chamber intraocular lens implantation under local anesthesia. The mean daily BP was 99.3 +/- 14.2 mm Hg; the mean preoperative BPs increased and then the postoperative BPs decreased. The postoperative BPs of the retrobulbar injection group decreased significantly more than those of the topical application group. In 833 cases, the systolic BP changed by more than 20 mm Hg. Even when the patients were hypertensive, the preoperative and postoperative BPs decreased in the same manner. The present study shows that, following surgery with retrobulbar block anesthesia, BP decreases to a greater extent than with topical anesthesia. Physicians should be aware of the high proportion of cases in which the systolic BP changes by more than 20 mm Hg.

References

Jan 1, 1992·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·R Suzuki, S Kurimoto
Oct 1, 1988·Klinische Monatsblätter für Augenheilkunde·G MichelsonG K Lang
Feb 1, 1995·British Journal of Anaesthesia·A Moffat, P M Cullen
Jun 1, 1993·Klinische Monatsblätter für Augenheilkunde·P SennI Schipper

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Citations

Jul 16, 1999·Ophthalmology·S I RosenfeldJ Schiffman
Jul 5, 2003·Journal of Cataract and Refractive Surgery·Umit Ubeyt InanFaruk Oztürk
Jan 26, 2000·Journal of Cataract and Refractive Surgery·D M Harman
Jul 28, 2001·Anesthesia and Analgesia·N Dhingra
Oct 24, 2014·Frontiers in Systems Neuroscience·Aeyal RazMatthew I Banks

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