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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.

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Related in: MedlinePlus

The surgeon’s evaluation form for cataract surgery under topical anesthesia
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Figure 0002: The surgeon’s evaluation form for cataract surgery under topical anesthesia

Mentions: Single surgeon performed the surgeries in both the groups. The surgeon also ranked his experience of the surgery by a questionnaire. The questionnaire was designed in a manner so that the lower score would indicate a more cooperative patient and comfortable surgery. The score could range from 3 to 9 [Fig. 2].


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)

The surgeon’s evaluation form for cataract surgery under topical anesthesia
© Copyright Policy - open-access
Related In: Results  -  Collection

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

Figure 0002: The surgeon’s evaluation form for cataract surgery under topical anesthesia
Mentions: Single surgeon performed the surgeries in both the groups. The surgeon also ranked his experience of the surgery by a questionnaire. The questionnaire was designed in a manner so that the lower score would indicate a more cooperative patient and comfortable surgery. The score could range from 3 to 9 [Fig. 2].

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