Cataract surgery is the most common elective operation performed worldwide (1, 2). The development of new technologies and new surgical techniques and materials lead to less invasive and day care procedures. This in turn encouraged an evolution on the ophthalmic anesthetic strategies, rendering general anesthesia largely unnecessary, so that local techniques have become preferred for cataract s...

Topical anesthesia was applied to the skin of the leg and thigh of a hemiparesis patient resulting from embolic infarction in the middle cerebral artery. After application of the anesthesia, the angular displacement of the ankle and knee joints measured during a full gait cycle showed a substantial shift towards normal. This response indicated a reduction in muscle spasticity which was confirme...

abstract glaucoma management in pregnant patients is a real challenge, especially when the glaucoma is not controlled with medications. we report the results of 6 incisional glaucoma surgeries for the management of medically uncontrolled glaucoma patients during pregnancy. this retrospective, case series was conducted on the 6 eyes of 3pregnant patients with uncontrolled glaucoma using maximum ...

Unfortunately, studies have not looked at use of lignocaine in the difficult pediatric airway and therefore are unable to ensure absolute adequate placement for an MLB procedure in a child with a difficult airway. It should also be noted directly placed lignocaine is frequently required in addition to nebulized lignocaine to achieve satisfactory anesthesia. We have now used this technique with ...

I y the past we have perfor~iiecl cliagnostic bronchoscopy on a group of paraplegic patients in whom the induction of topical anesthesia in the usual way was clifficult. For these patients, a method of applying local anesthesia mas developed which was so effective and silnple that i t has become our prcferred technique in the preparation of all adult patients for endoscopy or hronchography. Ane...

A 12-day-old boy presented with duskiness 4 h after circumcision with local anesthesia: infiltration with lidocaine (6 mL 1 %) and topical EMLA cream (2.5 % lidocaine/2.5 % prilocaine). He had no respiratory distress, but a strikingly dark skin. A blood sample showed dark, chocolate brown blood with a raised methemoglobin of 49.8 % (normal <1.5 %) and a lactate of 10 mmol/L. A diagnosis of meth...

OBJECTIVE To test the hypothesis that there is no difference in the actions and effectiveness of topical anesthetics TAC Alternate (TAC((a))) and Oraqix in placing temporary anchorage devices (TADs). MATERIALS AND METHODS Each topical anesthetic was placed on opposing sides in the maxilla or mandible using blinded applicators for 3-9 minutes followed by the TAD placement. A total of 21 patien...

A rare case is reported with a large foreign body in the upper gastrointestinal tract. A 19-year-old girl accidentally swallowed her toothbrush which was successfully removed via endoscopy using a polypectomy snare under topical pharyngeal anesthesia. The extracted toothbrush was 20 cm long, and it had the characteristic radiographic image.

A young man suffered an acute inferior myocardial infarction following clinical use of cocaine as topical anesthesia. Coronary angiography showed occlusion of both the posterior descending and posterolateral arteries which was resistant to intracoronary administration of nitroglycerin and verapamil, a finding consistent with thrombotic occlusion. A subsequent angiogram 3 months later showed no ...

Materials and Methods: Sixty patients undergoing cataract surgery (thirty eyes using phacoemulsicification and thirty eyes with extra capsular cataract extraction technique) were included in the study. All patients received topical anesthesia with proparacain (Alcain) eye drops combined with sponge socked in Alcain eye drops in superior conjuctival sac, which remained there till the end of surg...