Limits...
Cataract surgery under topical anesthesia using 2% lignocaine jelly and intracameral lignocaine: is manual small incision cataract surgery comparable to clear corneal phacoemulsification?

Gupta SK, Kumar A, Agarwal S - Indian J Ophthalmol (2010 Nov-Dec)

Bottom Line: Descriptive analysis and one-tailed Mann-Whitney test were used to draw results.The average VAS score in Group 1 was 0.65 (SD 1.31) and in Group 2 it was 0.90 (SD 1.22).This difference in the average was not statistically significant with P=0.09.

View Article: PubMed Central - PubMed

Affiliation: Ophthalmology Department, Chhatrapati Sahuji Maharaj Medical University, India. sanjiv204@gmail.com

ABSTRACT
A prospective comparative study was undertaken to compare the patients' pain experience, surgical outcome and surgeon's experience in phacoemulsification and manual small incision cataract surgery (MSICS) under topical anesthesia supplemented with intracameral lignocaine (TASIL). In Group 1 (n=88) phacoemulsification was done and in Group 2 (n=92) MSICS was done. Pain scores were marked by the patients on a Visual analog scale (VAS) after the surgery. The surgical experience was noted on a questionnaire by the operating surgeon. Descriptive analysis and one-tailed Mann-Whitney test were used to draw results. The average VAS score in Group 1 was 0.65 (SD 1.31) and in Group 2 it was 0.90 (SD 1.22). This difference in the average was not statistically significant with P=0.09. The study demonstrates that MSICS and phacoemulsification both can be done safely under TASIL with acceptable patient comfort, and the pain experienced by the patients during the procedures is comparable.

Show MeSH

Related in: MedlinePlus

Pain evaluation form for patients undergoing cataract surgery under topical anesthesia
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC2993990&req=5

Figure 0001: Pain evaluation form for patients undergoing cataract surgery under topical anesthesia

Mentions: Patients were recruited in the two groups by their own choice, largely guided by the difference in the cost of the surgery (phacoemulsification with foldable IOL being expensive as compared to MSICS with rigid IOL). No blinding could be adopted due to standard consent procedures. Patients were instructed to inform verbally about any discomfort or pain during the surgery. At the end of the surgery the eye was patched and the patients were given a modified visual analog scale (VAS)[1] to report their pain experience by marking at the appropriate point. For those patients who could not comprehend the scale, there was an integrated modified Wong scale in the local language [Fig. 1].


Cataract surgery under topical anesthesia using 2% lignocaine jelly and intracameral lignocaine: is manual small incision cataract surgery comparable to clear corneal phacoemulsification?

Gupta SK, Kumar A, Agarwal S - Indian J Ophthalmol (2010 Nov-Dec)

Pain evaluation form for patients undergoing cataract surgery under topical anesthesia
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC2993990&req=5

Figure 0001: Pain evaluation form for patients undergoing cataract surgery under topical anesthesia
Mentions: Patients were recruited in the two groups by their own choice, largely guided by the difference in the cost of the surgery (phacoemulsification with foldable IOL being expensive as compared to MSICS with rigid IOL). No blinding could be adopted due to standard consent procedures. Patients were instructed to inform verbally about any discomfort or pain during the surgery. At the end of the surgery the eye was patched and the patients were given a modified visual analog scale (VAS)[1] to report their pain experience by marking at the appropriate point. For those patients who could not comprehend the scale, there was an integrated modified Wong scale in the local language [Fig. 1].

Bottom Line: Descriptive analysis and one-tailed Mann-Whitney test were used to draw results.The average VAS score in Group 1 was 0.65 (SD 1.31) and in Group 2 it was 0.90 (SD 1.22).This difference in the average was not statistically significant with P=0.09.

View Article: PubMed Central - PubMed

Affiliation: Ophthalmology Department, Chhatrapati Sahuji Maharaj Medical University, India. sanjiv204@gmail.com

ABSTRACT
A prospective comparative study was undertaken to compare the patients' pain experience, surgical outcome and surgeon's experience in phacoemulsification and manual small incision cataract surgery (MSICS) under topical anesthesia supplemented with intracameral lignocaine (TASIL). In Group 1 (n=88) phacoemulsification was done and in Group 2 (n=92) MSICS was done. Pain scores were marked by the patients on a Visual analog scale (VAS) after the surgery. The surgical experience was noted on a questionnaire by the operating surgeon. Descriptive analysis and one-tailed Mann-Whitney test were used to draw results. The average VAS score in Group 1 was 0.65 (SD 1.31) and in Group 2 it was 0.90 (SD 1.22). This difference in the average was not statistically significant with P=0.09. The study demonstrates that MSICS and phacoemulsification both can be done safely under TASIL with acceptable patient comfort, and the pain experienced by the patients during the procedures is comparable.

Show MeSH
Related in: MedlinePlus