PURPOSE To evaluate patient-reported pain induced by phacoemulsification without sedation using topical or peribulbar anesthesia. SETTING Department of Ophthalmology, School of Medicine of Ribeirão Preto, São Paulo, Brazil. METHODS This study assessed patient-perceived pain during phacoemulsification cataract surgery with peribulbar anesthesia (lidocaine 2%-bupivacaine 0.5% mixture) or with...

Results: 51 patients underwent phacoemulsification under topical anesthesia and 49 patients underwent phacoemulsification under peribulbar anesthesia. No statistical differences were found in surgery duration, intra-operative complications, pain, blood pressure or Oxygen saturation (SPO2). Topical group did not require additional subconjunctival injection. 4/49 (8.16%) in peribulbar group requi...

background cataract is one of the most common surgical procedures in the elderly. in most cases, the elderly have cardiac ischemia or chronic coronary diseases, which would lead to more ischemic events during general anesthesia. therefore, surgeons and anesthetists prefer regional aesthesia to the general one owing to its more advantages and less complications. objectives therefore, this study ...

PURPOSE Topical anesthesia is increasingly being used for cataract surgery. However, it is believed that topical anesthesia causes an increased risk of intraoperative complications from unrestricted eye movement and insufficient pain control and more need for sedation. It is difficult to compare pain and anxiety experienced by individual patients; therefore, the authors used the method of patie...

Correspondence: José A Abreu Ophthalmology Department, University Hospital of the Canary Islands, Ctra. Ofra S/N La Cuesta, 38320 La Laguna, Tenerife, Canary Islands, Spain Email [email protected] Dear editor We read with interest the recently published article “Superior subconjunctival anesthesia versus retrobulbar anesthesia for manual small-incision cataract surgery in a residency train...

Unsedated esophagogastroduodenoscopy (UEGD) is generally safe and can be well tolerated [1,2]. The proportion of patients undergoing diagnostic EGD without sedation has been increasing over the past decade, and previous studies suggest that many patients who receive adequate information about the procedure now choose not to have sedation [3,4]. In Thailand, most of diagnostic and screening EGDs...

Esophagogastroduodenoscopy (EGD) is an endoscopic procedure which is commonly used for diagnostic and therapeutic purposes. The proportion of patients undergoing diagnostic EGD without sedation has been increasing over the past decade. In addition, EGD has several applications specific to the patients with chronic liver disease [1]. Unsedated esophagogastroduodenoscopy (UEGD) is generally safe ...

OBJECTIVE To assess the comparative efficacy of topical and local anesthesia in phacoemulsification. MATERIAL AND METHODS The medical records of 186 men and women between the ages of 45-85 years, who underwent elective cataract surgery by phacoemulsification technique, under the care of one surgeon, over a period of one year, from March 1999-March 2000 were reviewed. RESULTS Of 186 patients...