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Small-incision manual extracapsular cataract extraction using deep-topical, nerve-block anesthesia.
1Department of Ophthalmology, Uludag University Hospital, Bursa, Turkey.
Summary
Deep-topical anesthesia is effective for small-incision manual extracapsular cataract extraction (ECCE), with high patient and surgeon satisfaction. Only a small percentage required conversion to peribulbar anesthesia.
Area of Science:
- Ophthalmology
- Surgical Anesthesia
- Cataract Surgery
Background:
- Small-incision manual extracapsular cataract extraction (ECCE) is a common surgical procedure.
- Effective anesthesia is crucial for patient comfort and surgical success during ECCE.
- Evaluating deep-topical anesthesia for this procedure is important for optimizing patient care.
Purpose of the Study:
- To assess the suitability and efficacy of deep-topical anesthesia for small-incision manual ECCE.
- To evaluate patient and surgeon satisfaction with this anesthetic technique.
Main Methods:
- A study involving 326 eyes of 253 patients undergoing small-incision manual ECCE.
- Anesthesia was administered using a 4% lidocaine-soaked sponge (deep-topical).
- Pain severity, eye movements, blepharospasm, complications, and satisfaction were recorded.
Main Results:
- Deep-topical anesthesia was successfully used in 99% of cases.
- Severe pain was noted during scleral vessel cauterization and subconjunctival injection.
- Posterior capsule rupture occurred in 1.8% of cases; patient and surgeon satisfaction was high (95% and 90%, respectively).
Conclusions:
- Deep-topical anesthesia is a high-quality anesthetic option for small-incision manual ECCE.
- The technique is associated with excellent patient and surgeon satisfaction.
- Minor adjustments may be needed to manage pain during specific surgical steps.