AIM To assess the costs and cost-effectiveness ratio of topical and peribulbar anesthesia in non-penetrating deep sclerectomy for the surgical treatment of open-angle glaucoma. PATIENTS AND METHODS We evaluated the associated direct costs with both topical and peribulbar anesthesia. Effectiveness was defined as the proportion of patients that experienced no pain during the surgical procedure ...

BACKGROUND Various studies have assessed patient satisfaction with topical versus peribulbar anesthesia with conflicting results. Aim of study was to determine satisfaction level in same patient who gets topical anesthesia in one eye and peribulbar block in another eye. We propose that evaluation of various indicators of patient satisfaction will enable better selection of cases for topical ane...

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...

PURPOSE Evaluate efficacy of superficial peribulbar anesthesia for cataract extraction compared with conventional peribulbar anesthesia. SETTING Department of Ophthalmology, Al Nahdha Hospital (Tertiary Ophthalmic and ENT Hospital) and Magraby Eye & Ear Center, Muscat, Sultanate of Oman. METHODS Patients scheduled for cataract extraction with intraocular lens implantation were randomly divi...

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...

BACKGROUND We evaluated the efficacy of a single-injection technique for percutaneous peribulbar anesthesia with a short needle as an alternative to the double-injection technique for cataract extraction. METHODS We included 200 patients who underwent elective cataract surgery randomized into 2 equal groups. They received either single-injection peribulbar anesthesia with a 16-mm needle or do...

BACKGROUND While peribulbar anesthesia is generally safe, a remote risk of retinal vascular accident exists and its routine use should be done with caution. OBJECTIVE To report a case of central retinal artery occlusion (CRAO) that occurred within 24 hours of routine uneventful phacoemulsification cataract surgery using peribulbar anesthesia. We share our experience of a 45-year old man who u...

INTRODUCTION Locoregional anesthesia techniques are increasingly used for cataract surgery. From these techniques, peribulbar anesthesia has been very successful over the retrobulbar anesthesia seen its effectiveness and safety. However, peribulbar anesthesia is not without risk. CASE PRESENTATION A 70-year-old African man was scheduled for cataract surgery and lens implant for his right eye....

Objective: To compare safety as well efficacy of topical anesthesia against peribulbar for patients undergoing three ports pars plana removal silicone oil . Background: Silicone is used a temponarding agent vitreoretinal procedures and have to be removed according the duration temponard required it associated with complications like development acceleration cataract devlopment , secondary open ...

The incidence of globe perforation following peribulbar anesthesia is rare, occurring in 0.006% of the cases in a recent series. The incidence of intraocular anesthetic injection is also rare; only 4 cases have been reported in the Englishlanguage literature. We report a case of an intraocular injection of a combination of bupivacaine hydrochloride and mepivacaine hydrochloride following globe ...