EUROPEAN JOURNAL OF
PHARMACEUTICAL AND MEDICAL RESEARCH

( An ISO 9001:2015 Certified International Journal )

An International Peer Reviewed Journal for Pharmaceutical, Medical & Biological Sciences

An Official Publication of Society for Advance Healthcare Research (Reg. No. : 01/01/01/31674/16)

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 ISSN 2394-3211

Impact Factor: 6.222

 ICV - 79.57

Abstract

COMPARISON OF PERIBULBAR AND TOPICAL ANESTHESIA IN MODERN CATARACT SURGERY

Dr. Surbhi Gupta and Dr. Akhil Gupta*

ABSTRACT

Background: Topical anesthesia for phacoemulsification is not new. The advantages of topical anesthesia are known, like: ease of application, minimal discomfort, rapid onset, rapid visual recovery and reduction of risks associated with retrobulbar or peribulbar injection, but not validated by many studies, therefore, this study was planned to compare the efficacy of topical anesthesia with peribulbar anesthesia in phacoemulsification. Methods: This was a hospital based prospective comparative randomized study conducted in Department of Ophthalmology, Government Medical College, Jammu, during the period: January 2015 to June 2015, on 100 patients, with age 40 years and above, assigned to either two groups: peribulbar group (group 1) and topical group (group 2). All patients of senile cataract, undergoing phacoemulsification cataract surgery with intraocular lens implantation, were included. Results: Demographic characteristics and backgrounds of the Patients in both the groups were comparable and similar. 50% patients in group 1 and 42% in group 2 did not feel any pain. Only 1 patient of periocular and 3 (6%) patients of topical anesthesia group had severe pain. Mean for analgesia in both the groups was comparable and similar. No significant difference in duration of surgery was noted. Mean value for akinesia in group 1 was 0.68 ± 0.61, and the mean for akinesia in group 2 was 2.30 ± 0.64, which was significantly higher, or a disadvantage, but with good patient selection, proper counseling and patient cooperation this problem can be avoided. Conclusion: Topical anesthesia can replace the other methods of anesthesia in cataract surgery.

Keywords: Phacoemulsification, Topical Anesthesia, Peribulbar Anesthesia, Analgesia, Akinesia.


[Full Text Article]

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Google Scholar Indian Science Publications InfoBase Index (In Process) SOCOLAR, China Research Bible, Fuchu, Tokyo. JAPAN International Society for Research activity (ISRA) Scientific Indexing Services (SIS) Polish Scholarly Bibliography Global Impact Factor (GIF) (Under Process) Universal Impact Factor International Scientific Indexing (ISI), UAE Index Copernicus CAS (A Division of American Chemical Society) USA (Under Process) Directory of Open Access Journal (DOAJ, Sweden, in process) UDLedge Science Citation Index CiteFactor Directory Of Research Journal Indexing (DRJI) Indian citation Index (ICI) Journal Index (JI, Under Process) Directory of abstract indexing for Journals (DAIJ) Open Access Journals (Under Process) Impact Factor Services For International Journals (IFSIJ) Cosmos Impact Factor Jour Informatics (Under Process) Eurasian Scientific Journal Index (ESJI) International Innovative Journal Impact Factor (IIJIF) Science Library Index, Dubai, United Arab Emirates Pubmed Database [NLM ID: 101669306] (Under Process) IP Indexing (IP Value 2.40) Web of Science Group (Under Process) Directory of Research Journals Indexing Scholar Article Journal Index (SAJI) International Scientific Indexing ( ISI ) Scope Database