TOPICAL ANESTHESIA FOR PHACOEMULSIFCATION IN IRANIAN PATIENTS

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SIATIRI H.; IRANI Z.

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Journal: JOURNAL OF CURRENT OPHTHALMOLOGY Year:2004 | Volume:16 | Issue:2 Page(s): 30-40

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Information Journal Paper

Title

TOPICAL ANESTHESIA FOR PHACOEMULSIFCATION IN IRANIAN PATIENTS

Author(s)

SIATIRI H. | IRANI Z. | Issue Writer Certificate

Keywords

TOPICALQ4

ANESTHESIAQ4

PHACOEMULSIFICATIONQ4

Abstract

Purpose: To evaluate the efficacy of TOPICAL ANESTHESIA for clear corneal PHACOEMULSIFICATION in Iranian patients at Farabi Hospital. Setting: Department of Ophthalmology, University of Tehran, Tehran, Iran. Methods: An interventional case series was performed on 58 consecutive patients that underwent clear cornea PHACOEMULSIFICATION under TOPICAL ANESTHESIA. Information about intra-operative & postoperative pain (score 1=without pain to score 3= severe pain), visual outcome, cooperation between patient and the surgeon, patient satisfaction from surgery, mean surgical time, intraoperative and postoperative complications were reordered in specific code sheets and were analyzed by SPSS 10 computer software. TOPICAL ANESTHESIA was achieved with tetracaine drop 0.5% and injection of preservative free lidocaine 1% in the AC, without any additional ANESTHESIA or sedation. Surgery was performed through a 3.2mm temporal corneal tunnel with in the bag (intercapsular) PHACOEMULSIFICATION. Results: From 58 patients (29 female, 29 male) with mean age of 58.5 yr and mean preoperative UCVA=1/10 (1/100-3/10), 86% had BCVA≥5.10 one month after surgery and 43% had BCVA≥10/10 and mean BCVA was 8/10 and mean improvement in visual acuity was 6.7 snellen lines. Mean surgical time was 28/8' (18'-50'), complications were: 2 cases of vitreous loss, 1 case of iris touch to phaco probe, 1 case of severe postsurgical uveitis and 1 case of severe corneal edema: Overall mean pain score was 1.4, 62,1% of patients have Grade 1, 32/8% Grade 2, 5/1% Grade 3 pain. 75.9% of the patients had good to excellent cooperation with surgeon, 19% medium and 5.2% poor cooperation. 74.1% of patient was very satisfied from this surgical method. Conclusion: TOPICAL ANESTHESIA was an effective and easy procedure for PHACOEMULSIFICATION, providing good perioperative pain tolerance by patients and is simple with minimal complications for phaco surgeons.

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APA: Copy

SIATIRI, H., & IRANI, Z.. (2004). TOPICAL ANESTHESIA FOR PHACOEMULSIFCATION IN IRANIAN PATIENTS. JOURNAL OF CURRENT OPHTHALMOLOGY, 16(2), 30-40. SID. https://sid.ir/paper/53056/en

Vancouver: Copy

SIATIRI H., IRANI Z.. TOPICAL ANESTHESIA FOR PHACOEMULSIFCATION IN IRANIAN PATIENTS. JOURNAL OF CURRENT OPHTHALMOLOGY[Internet]. 2004;16(2):30-40. Available from: https://sid.ir/paper/53056/en

IEEE: Copy

H. SIATIRI, and Z. IRANI, “TOPICAL ANESTHESIA FOR PHACOEMULSIFCATION IN IRANIAN PATIENTS,” JOURNAL OF CURRENT OPHTHALMOLOGY, vol. 16, no. 2, pp. 30–40, 2004, [Online]. Available: https://sid.ir/paper/53056/en

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