A Safe, Efficacious and Cost Effective Way of Delivering Sub-Tenon’s Anaesthesia during Cataract Surgery
Journal Title: Ophthalmology Research: An International Journal - Year 2015, Vol 3, Issue 2
Abstract
Aims: There are considerable pressures in various health economies at present to reduce costs whilst maintaining patient safety and clinical efficacy. We report a new simplified regime for the administration of Sub-Tenon’s anaesthesia offering a cost saving of up to 95% whilst maintaining to total safety and efficacy. Study Design: The study compared usage of 2% Xylocaine (2% Lignocaine with 1:200000 Adrenaline) over the more prevalent regime of 2% Bupivacaine + 2% Lignocaine + Hyaluronidase in terms of cost, patient satisfaction, safety and efficacy prior to phacoemulsification surgery. Place and Duration of Study Sample: Department of Ophthalmology, Royal Preston Hospital, Preston UK between July and November 2010. Methodology: Following topical anaesthesia with 3 drops of Proxymetacaine 0.5% drops instilled one minute apart and subsequent administration of a drop of 5% Povidone Iodine aqueous solution into the conjunctival sac, 2ml of 2% Lignocaine with 1:200000 adrenaline was administered as a Sub-Tenon’s injection to 100 eyes of consecutive patients undergoing phacoemulsification. Pain levels during the administration of the injection and during surgery were monitored by measuring Visual Analogue Pain (VAP) scores via a prospective questionnaire immediately after the operation. Results: There were 100 eyes of patients undergoing cataract surgery included in this study. No patient required top up anaesthesia during the surgery and no serious anaesthetic related intra or post-operative complication was noted in any of the patients. The mean VAP score during delivery of anaesthetic and for the duration of surgery were both 0. Conclusion: Our results show that this regime for administration of Sub-Tenon’s anaesthesia meets the standards required in terms of both safety and efficacy whilst delivering considerable cost savings. We recommend its routine use for the reasons cited above.
Authors and Affiliations
S. Bansal, K. Jasani
Keywords
Related Articles
- EP ID EP338942
- DOI 10.9734/OR/2015/7213
- Views 115
- Downloads 0
Mechanical Pupil Dilatation Using Oasis Ring versus Non-mechanical Device Pupil Dilatation for Phacoemulsification in Eyes with Narrow Pupil
Purpose: to compare using Oasis ring for mechanical dilatation of the pupil during phacoemulsification in cases of narrow pupil with non-mechanical dilatation. Methods: this study included 80 eyes of 67 patients of catar...
The Etiology and Antibiogram of Bacterial Causes of Conjunctivitis among Patients Attending the Eye Clinic at Rugarama Hospital in South Western Uganda
Background: Bacterial Conjunctivitis is a common eye condition that causes discomfort and is very irritating. It is a common condition in children and adults and can be caused by various bacterial agents. Objective: To d...
Review of the Use of SWAP and FDT for the Early Detection of Visual Field Loss
Background: To review the literature reporting SWAP and FDT for the early detection of visual field loss in glaucoma. Methods: A review of literature published on Medline, Scopus and Web of Science between 1966 and prese...
Surgical Outcome of Exotropic Patients' Management; One Year Follow-up
Purpose: To find the surgical success rate and frequency of complications among patients with exotropia. Methods: This is a case series study on 102 exotropic patients who were managed surgically. They were followed up f...
Detecting Visuoperceptive Defects in Adolescent and Adult Disabled Readers with the TETRA Analyzer™. Pathological Sample and Comparison with Normal Readers
Aims: To investigate visuoperceptive abnormalities in adult dyslexics with the TETRA Analyzer™, and to compare the results with those obtained with normal adult readers. Study Design: Epidemiological study. Place and Dur...