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Deep topical anesthesia with ropivacaine-soaked sponge for phacoemulsification
Gianluca Scuderi1, Luca Scuderi2, Silvia Calafiore1
1Ophthalmology Unit, NESMOS Department, St. Andrea Hospital, "Sapienza" University of Rome, Via di Grottarossa 1035/1039, Rome, Italy.
International Ophthalmology
|June 2, 2019
Summary
Deep topical anesthesia using ropivacaine-soaked sponges offers improved pain control and surgeon satisfaction during phacoemulsification compared to standard topical anesthesia. This method enhances patient comfort and surgical ease.
Area of Science:
- Ophthalmology
- Anesthesiology
Background:
- Phacoemulsification, a common cataract surgery, relies on effective anesthesia for patient comfort and surgical success.
- Traditional topical anesthesia may have limitations in providing adequate and long-lasting pain relief.
Purpose of the Study:
- To compare the safety and efficacy of deep topical anesthesia with ropivacaine-soaked sponges against standard topical anesthesia with oxybuprocaine for phacoemulsification.
Main Methods:
- A retrospective study evaluated 100 patient records undergoing cataract surgery.
- Patients received either deep topical anesthesia (ropivacaine-soaked sponge) or standard topical anesthesia (oxybuprocaine).
- Pain was assessed using a visual analogue scale, and surgeon ease of operation was recorded.
Main Results:
- Deep topical anesthesia with ropivacaine resulted in significantly lower patient pain scores (p=0.0069).
- Surgeons reported significantly greater ease of operation in the deep topical anesthesia group (p=0.0341).
- Fewer patients required additional anesthesia for complications in the deep topical anesthesia group.
Conclusions:
- Deep topical anesthesia with ropivacaine-soaked sponges is safe and effective for phacoemulsification.
- This technique provides superior pain management and enhances surgeon satisfaction.
- It offers a promising alternative for long-lasting anesthesia during cataract surgery.
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