Limits...
No-patch 23-gauge vitrectomy under topical anesthesia: a pilot study.

Deka S, Bhattacharjee H, Barman MJ, Kalita K, Singh SK - Indian J Ophthalmol (2011 Mar-Apr)

Bottom Line: Four patients had Grade 0 pain during the surgery.One patient had Grade 1 pain during the placement and withdrawal of the micro cannulas.Further study is recommended to validate the outcome of this study.

View Article: PubMed Central - PubMed

Affiliation: Department of Vitreoretina Services, Sri Sankaradeva Nethralaya, Beltola, Guwahati-781 028, India. drsatyen@hotmail.com

ABSTRACT
A pilot study was designed to evaluate the safety and efficacy of 23-gauge vitrectomy under topical anesthesia. Five eyes of five patients underwent 23-gauge sutureless vitrectomy under topical anesthesia with a pledget soaked in 0.5% proparacaine hydrochloride anesthetic, for vitreous hemorrhage (four eyes), epiretinal membrane (one eye). Subjective pain and discomfort were graded using a visual analogue chart from 0 (no pain or discomfort) to 4 (severe pain and discomfort). At the end of surgery no patch was applied and patients were given dark glasses. Patients underwent an immediate postoperative assessment, followed by next day and one week postoperative evaluation. Four patients had Grade 0 pain during the surgery. One patient had Grade 1 pain during the placement and withdrawal of the micro cannulas. The surgical outcomes were favorable. 23-gauge vitrectomy under topical anesthesia is safe and effective in selected cases. Further study is recommended to validate the outcome of this study.

Show MeSH

Related in: MedlinePlus

Postoperative first day slit-lamp photograph showing minimal inflammation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
getmorefigures.php?uid=PMC3116543&req=5

Figure 0004: Postoperative first day slit-lamp photograph showing minimal inflammation

Mentions: The mean age of the patients was 48 years (28 to 62 years). Out of five eyes three were phakic eyes. All patients had visual improvement at one week and one month postoperative follow-up [Table 1]. Minimal subconjunctival escape of gas was noted in one case; that resolved spontaneously and there was no hypotony. There was no incidence of trauma to the crystalline lens in the phakic eyes. Four patients had Grade 0 pain throughout the procedure. One patient reported Grade 1 pain during insertion and withdrawal of microcannula. None of the patients required oral analgesics in the postoperative period. Intraocular pressures recorded (all cases) at Day one, at Week one, and at Month one follow-up were normal (mean 18 + 2.4 mm Hg, range14 to 20 mm Hg). There was minimal intraocular inflammation in all cases [Fig. 4]. The operated eye was quiet at one month follow-up [Fig. 5].


No-patch 23-gauge vitrectomy under topical anesthesia: a pilot study.

Deka S, Bhattacharjee H, Barman MJ, Kalita K, Singh SK - Indian J Ophthalmol (2011 Mar-Apr)

Postoperative first day slit-lamp photograph showing minimal inflammation
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC3116543&req=5

Figure 0004: Postoperative first day slit-lamp photograph showing minimal inflammation
Mentions: The mean age of the patients was 48 years (28 to 62 years). Out of five eyes three were phakic eyes. All patients had visual improvement at one week and one month postoperative follow-up [Table 1]. Minimal subconjunctival escape of gas was noted in one case; that resolved spontaneously and there was no hypotony. There was no incidence of trauma to the crystalline lens in the phakic eyes. Four patients had Grade 0 pain throughout the procedure. One patient reported Grade 1 pain during insertion and withdrawal of microcannula. None of the patients required oral analgesics in the postoperative period. Intraocular pressures recorded (all cases) at Day one, at Week one, and at Month one follow-up were normal (mean 18 + 2.4 mm Hg, range14 to 20 mm Hg). There was minimal intraocular inflammation in all cases [Fig. 4]. The operated eye was quiet at one month follow-up [Fig. 5].

Bottom Line: Four patients had Grade 0 pain during the surgery.One patient had Grade 1 pain during the placement and withdrawal of the micro cannulas.Further study is recommended to validate the outcome of this study.

View Article: PubMed Central - PubMed

Affiliation: Department of Vitreoretina Services, Sri Sankaradeva Nethralaya, Beltola, Guwahati-781 028, India. drsatyen@hotmail.com

ABSTRACT
A pilot study was designed to evaluate the safety and efficacy of 23-gauge vitrectomy under topical anesthesia. Five eyes of five patients underwent 23-gauge sutureless vitrectomy under topical anesthesia with a pledget soaked in 0.5% proparacaine hydrochloride anesthetic, for vitreous hemorrhage (four eyes), epiretinal membrane (one eye). Subjective pain and discomfort were graded using a visual analogue chart from 0 (no pain or discomfort) to 4 (severe pain and discomfort). At the end of surgery no patch was applied and patients were given dark glasses. Patients underwent an immediate postoperative assessment, followed by next day and one week postoperative evaluation. Four patients had Grade 0 pain during the surgery. One patient had Grade 1 pain during the placement and withdrawal of the micro cannulas. The surgical outcomes were favorable. 23-gauge vitrectomy under topical anesthesia is safe and effective in selected cases. Further study is recommended to validate the outcome of this study.

Show MeSH
Related in: MedlinePlus