Anaesthetic plus dilating gel improves pupil dilation for cataract surgery

Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie
Delan JinapriyaSherif R El-Defrawy

Abstract

To evaluate the efficacy of a combination anaesthetic plus dilating gel (ADG) on pupil dilation (PD) and corneal anaesthesia (KA) compared to traditional preoperative pharmacotherapy for cataract surgery. Prospective, noninferiority study. We studied 20 consenting adults who experienced unilateral cataracts and underwent routine cataract surgery, receiving the traditional preoperative pharmacologic regimen in the operated eye (control eye): diclofenac 0.1%, gentamicin 0.3%, cyclopentolate 1%, phenylephrine 2.5%, and tropicamide 1% 60 and 20 minutes prior to surgery. They then received tetracaine 0.5% and povidone-iodine 5% 10 minutes prior to surgery; and were given tetracaine 0.5%, povidone-iodine 5%, and lidocaine 2% gel 1 minute prior to surgery. Epinephrine 0.1%, 1 cc per 500 mL bag of balanced saline salt solution was administered during surgery. The nonoperated eye (study eye) received tetracaine 0.5%, povidone-iodine 5%, and 0.35 cc ADG gel (phenylephrine 10%, tropicamide 1%, diclofenac 0.1%, and lidocaine 2%) 60 and 10 minutes prior to surgery. PD and KA were measured at baseline, at 30 minutes, and at 5 minutes prior to surgery, and at 5 minutes after surgery. There was no difference in PD (p = 0.2634) or KA (p = 0.605...Continue Reading

References

Apr 1, 1980·American Journal of Ophthalmology·L Apt, A Henrick
Jan 1, 1996·Journal of Cataract and Refractive Surgery·C W Roberts
Dec 13, 2003·Journal of Cataract and Refractive Surgery·Lindsay Ong-Tone
Jan 8, 2004·Journal of Cataract and Refractive Surgery·Björn Lundberg, Anders Behndig
Apr 25, 2007·CMAJ : Canadian Medical Association Journal = Journal De L'Association Medicale Canadienne·William HodgeElizabeth Lowcock

❮ Previous
Next ❯

Citations

Apr 11, 2015·Eye·E MoisseievJ Mandelblum
Apr 21, 2017·Drug Development and Industrial Pharmacy·Silvia PescinaSara Nicoli
Jul 31, 2013·AORN Journal·Celeste WeddleJacqueline Dienemann

❮ Previous
Next ❯

Related Concepts

Related Feeds

Aminoglycosides

Aminoglycoside is a medicinal and bacteriologic category of traditional Gram-negative antibacterial medications that inhibit protein synthesis and contain as a portion of the molecule an amino-modified glycoside. Discover the latest research on aminoglycoside here.

Aminoglycosides (ASM)

Aminoglycoside is a medicinal and bacteriologic category of traditional Gram-negative antibacterial medications that inhibit protein synthesis and contain as a portion of the molecule an amino-modified glycoside. Discover the latest research on aminoglycoside here.

Related Papers

Clinical & Experimental Ophthalmology
Austin McCormickMark Watts
Journal of Cataract and Refractive Surgery
Jonathan M Davidorf
Journal of Cataract and Refractive Surgery
David R Hardten, Tanya L Sadler
Journal of Cataract and Refractive Surgery
Lindsay Ong-Tone, Ali Bell
© 2021 Meta ULC. All rights reserved