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Indian J Ophthalmol ; 2002 Dec; 50(4): 313-6
Article in English | IMSEAR | ID: sea-70821

ABSTRACT

PURPOSE: To prospectively analyse the efficacy and safety of peribulbar anaesthesia for penetrating keratoplasty through a noncomparative, consecutive series. METHODS: One hundred twenty-four (91.1%) of 136 patients undergoing penetrating keratoplasty (PK) from January 1997 to December 2001, were administered peribulbar anaesthesia. The anaesthetic mixture consisted 5 ml of lignocaine, bupivacaine, and hyaluronidase (to avoid evaluation bias) in the peribulbar space. A repeat injection of 3 ml was used if the primary injection was inadequate. Digital ocular compression was done for 10-15 minutes after the first injection. Each patient was analysed for degree of akinesia, subjective patient comfort, analgesia, subjective surgeon comfort, and types of surgical conditions. RESULTS: The age ranged from 19 to 86 years. Forty-nine of 124 patients (39.5%) received PK only and remaining 75 patients (60.5%) received additional procedures. A single injection was sufficient to achieve adequate akinesia (grade II and III) in 114 (92%) patients and 120 (97%) of patients were satisfied (graded pain as < or = grade II). During surgery, 6 (5%) phakic eyes developed episodes of positive intraocular pressure and 5 eyes (4%) developed chemosis. There were no other local or systemic adverse events. The surgeon level comfort was (grade II or more) 98% (122 of 124). CONCLUSION: One-point, low volume, peribulbar anaesthesia for penetrating keratoplasty is safe and efficacions.


Subject(s)
Adult , Aged , Aged, 80 and over , Anesthesia, Local/methods , Anesthetics, Combined/administration & dosage , Anesthetics, Local/administration & dosage , Bupivacaine/administration & dosage , Humans , Hyaluronoglucosaminidase/administration & dosage , Injections , Keratoplasty, Penetrating/methods , Lidocaine/administration & dosage , Male , Middle Aged , Nerve Block/methods , Oculomotor Nerve/drug effects , Pain Measurement , Pain, Postoperative/prevention & control , Postoperative Complications , Safety
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