[Evaluation of capsicum ointment application on Korean hand acupressure points KD2, K-K9 in reducing postoperative nausea and vomiting after cataract surgery with general anesthesia]

Post operative nausea and vomiting [PONV] is a very common and distressing complication after surgeries which may result in more serious problems such as incisional hernia wound dehiscence and aspiration. Cataract surgery following increase in intraocular pressure is sensitive to POVN. This study was designed to evaluate the effect of capsicum ointment on Korean acupressure points in reducing PONV and the amount of anti-emetic medications was used. This study is a double-blinded clinical trial which was done on 200 patients who were referred to Amir Kabir hospital for cataract surgery. The patient were randomized at the pressure points [K-K9 and K-KD2]. After applying the ointments and during the first 12 hours after the operation the patients were assessed for the incidence and intensity of PONV. The incidence of nausea and vomiting during the first 6 and 12 hours was higher in the placebo group in compare to the capsicum group [p=0.001]. Nausea scores were also higher in the 6 and 12 hours in the placebo group [p=0.0005]. Uses of metoclopramide was significant higher in the placebo group in compare to the capsicum group [p=0.001]. There was no significant difference between the two groups for vomiting during first 12 hours after operation. Stimulating of both K-D2 and K-K9 Korean acupressure points simultaneously is a simple, noninvasive, cheap and effective method for reducing PONV

[Astigmatism reduction in frown incision Phacosection]

Cataract is a type of tarnish observable opacity in different layers constituting the lens and will cause light occlusion or scattering. Necessity for treatment of Cataract via surgery and its close relation with corneal astigmatism, when we applied a new method in cutting and type of cataract surgery, led us to measure the post-operation corneal astigmatism changes in frown incision Phacosection. This interventional study has been done on 73 eyes[58 patients]. These patients were gone under Cataract surgery via no stitch frown incision scleral tunnel phacosection method. In this study we have 7mm external scleral incision with no suture. They were Keratometerized in four separate periods including pre-operation, one week, one month and three months post- operation. Data was analyzed using independent and paired t-tests. Age, sex and left or right eye had no influence on astigmatism. Mean pre- operation astigmatism was 0.84 +/- 0.87D, mean astigmatism 1 week post- operation was 0.27 +/- 0.88 D, 1 month post- operation 0.06 +/- 0.82 D, and three months post-operation was -0.03 +/- 0.85 D [P= 0.0001]. Before operation, 80% of the patients did have an astigmatism rate less than 1D that increased to 94.5% in three months period after operation and in 89% of the cases, the ultimate change in astigmatism has been found lower than 1D. The obtained information revealed that there is a meaningful difference between pre-operation astigmatism and the same after one week, one month and three months post-operation[P= 0.0001]. Independent sample t and paired t-test were used to analyse data. Our study indicated that the no stitch frown incision scleral tunnel phacosection surgery can reduce pre-op corneal astigmatism, and because of induction of the slight controlled astigmatism we can apply this technique for all cataractic patients