RESUMO
PURPOSE: To study the safety and efficacy of intracameral lidocaine as anaesthesia in trabeculectomy for primary open-angle glaucoma. METHODS: Trabeculectomy under intracameral anaesthesia using 1% preservative-free lidocaine was performed in 10 patients with primary open-angle glaucoma. Intraoperative pain score, postoperative intraocular pressure (IOP) and endothelial cell count at 3 months were recorded. RESULTS: The mean pain score was 1.70 +/- 1.34. The mean IOP was lowered from 24.60 +/- 8.28 mmHg preoperatively to 14.1 +/- 3.11 mm Hg postoperatively. There was no significant decrease in the mean endothelial cell count 3 months after the surgery (P = 0.375). CONCLUSION: Intracameral lidocaine may be a safe and effective alternative anaesthesia method in trabeculectomy for uncomplicated primary open-angle glaucoma.
Assuntos
Idoso , Idoso de 80 Anos ou mais , Anestesia Local/métodos , Anestésicos Locais/administração & dosagem , Câmara Anterior/cirurgia , Avaliação de Medicamentos , Feminino , Glaucoma de Ângulo Aberto/cirurgia , Humanos , Pressão Intraocular , Período Intraoperatório , Lidocaína/administração & dosagem , Masculino , Pessoa de Meia-Idade , Medição da Dor , Estudos Prospectivos , Segurança , Trabeculectomia , Resultado do Tratamento , Acuidade VisualRESUMO
Argon laser suture lysis using the Ritch lens provides a safe and effective means for correction of post--ECCE suture--induced astigmatism.