PMID: 9642600Jun 27, 1998Paper

Prospective evaluation of topical versus retrobulbar anesthesia: a converting surgeon's experience

Journal of Cataract and Refractive Surgery
B C PatelAlan S Crandall

Abstract

To evaluate and compare the efficacy of topical versus retrobulbar anesthesia for cataract surgery performed by a surgeon newly converting to the topical technique. Department of Ophthalmology, Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. Ninety patients were prospectively assigned by permuted block restricted randomization to receive topical (Group 1; n = 45) or retrobulbar (Group 2; n = 45) anesthesia. Group 1 received topical bupivacaine 0.75% and intravenous midazolam and fentanyl for anesthesia. Group 2 received intravenous methohexital followed by retrobulbar block with an equal mixture of lidocaine 2% and bupivacaine 0.75% plus hyaluronidase 150 units. A visual pain analog scale was used to assess the degree of pain during anesthesia administration and surgery and postoperatively. The degree to which eye movement, touch, and light caused patient discomfort was assessed. Intraoperative conditions and complications were recorded. Intraoperative operating conditions were significantly better in Group 2 (P < .05). There was a small but statistically significant difference in the degree of discomfort during anesthesia administration and surgery (P < .05). There was no difference in postoperative discomfort...Continue Reading

References

Mar 1, 1992·Journal of Cataract and Refractive Surgery·P N Arnold
Mar 1, 1990·Journal of Cataract and Refractive Surgery·J C WhitsettB McClure
Apr 1, 1990·The British Journal of Ophthalmology·R Smith
Nov 1, 1986·Journal of Cataract and Refractive Surgery·L B Bloomberg
Jul 1, 1994·Journal of Cataract and Refractive Surgery·H Fukasaku, J A Marron
May 1, 1996·Journal of Cataract and Refractive Surgery·M ZehetmayerU Scholz
Aug 1, 1996·Ophthalmology·M A KapustaW C Lam

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Citations

Jun 16, 2001·Journal of Cataract and Refractive Surgery·P D O'BrienW Power
May 31, 2002·Journal of Cataract and Refractive Surgery·Enrico MartiniPaolo Molinari
Apr 17, 2002·Journal of Cataract and Refractive Surgery·Iqbal Ike K AhmedBhupendra C K Patel
Nov 30, 2002·Journal of Cataract and Refractive Surgery·Osman Nuri AydinFeray Gürsoy
Feb 18, 2004·Journal of Cataract and Refractive Surgery·J Bradley RandlemanMaria M Aaron
Aug 13, 1999·Journal of Cataract and Refractive Surgery·J YepezJ F Arevalo
Mar 21, 2000·Current Opinion in Ophthalmology·J Naor, A R Slomovic
Jan 10, 2001·Current Opinion in Ophthalmology·A S Crandall
Aug 10, 2002·Journal of Glaucoma·Norman A ZabriskieBhupendra C K Patel
Jun 11, 2005·Ophthalmologica. Journal international d'ophtalmologie. International journal of ophthalmology. Zeitschrift für Augenheilkunde·Michelle ThillGisbert Richard
Sep 28, 2001·British Journal of Anaesthesia·G S Thind, A P Rubin
Apr 21, 2004·Cornea·Fani SegevAllan R Slomovic
Mar 16, 2012·The Cochrane Database of Systematic Reviews·Alex PollockUma Shahani
Jul 26, 2006·Journal of Cataract and Refractive Surgery·Mustafa UnalMeryem Altin
Dec 4, 2003·Acta Ophthalmologica Scandinavica·Gangolf Sauder, Jost B Jonas
Mar 12, 2002·Clinical & Experimental Ophthalmology·Tim Roberts, Kerry Boytell
Mar 16, 2005·Journal français d'ophtalmologie·D A Lebuisson, M-C Jolivet
Feb 5, 2010·Canadian Journal of Ophthalmology. Journal Canadien D'ophtalmologie·Adelyn L HoRosa Braga-Mele

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