A randomised controlled trial to compare patient satisfaction with two different types of local anaesthesia in ptosis surgery

Orbit
Edward J K LeeCarole A Jones

Abstract

Ptosis surgery is performed under local anaesthetic to allow intra-operative assessment of lid positioning. Most commonly the anaesthetic is administered as a subcutaneous infiltration at the surgical site. Ptosis surgery using a regional nerve block has also been described, with reported advantages for minimising levator paralysis and disruption of the surgical landmarks. This study was designed to compare patient satisfaction with the two techniques of local anaesthetic administration. 32 patients undergoing ptosis surgery were enrolled into a randomised controlled trial to receive local anaesthetic either by subcutaneous infiltration or by regional nerve block. Patient satisfaction was measured postoperatively with a self-administered vertical response column questionnaire, the Iowa Satisfaction with Anaesthesia Scale (ISAS). Of the 32 patients who were recruited 3 patients were excluded from analysis due to incomplete questionnaires or deviation from the trial protocol. Patient groups were well matched in terms of age, sex, time on waiting list, anaesthetic risk score, and operating grade of surgeon. Comparison of ISAS scores with the Mann Whitney test demonstrated an equal level of patient satisfaction with the two techniq...Continue Reading

References

Feb 1, 1967·Archives of Ophthalmology·H R Hildreth, B Silver
Sep 5, 2006·European Journal of Ophthalmology·A R IsmailH MacLean

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Citations

Mar 10, 2016·Journal of the American Academy of Dermatology·David J KoubaJose V Moyano
May 15, 2013·Anesthesiology·Sarah F BarnettSuneetha Ramani Moonesinghe
Jun 30, 2016·Dermatologic Surgery : Official Publication for American Society for Dermatologic Surgery [et Al.]·Kang-Jae ShinYoung-Chun Gil
Feb 18, 2016·Ophthalmic Plastic and Reconstructive Surgery·Giancarlo A GarciaJeremiah P Tao
Oct 8, 2014·Plastic and Reconstructive Surgery. Global Open·Maria Trapasso, Aniello Veneroso
Mar 1, 2013·Ophthalmic Plastic and Reconstructive Surgery·Gholam Hoseyn AghaiKhalil Ghasemi Falavarjani

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