Medial canthus single injection a comparative study between articaine and prilocaine

ABSTRACT

To compare the efficacy of 4% articaine with 4% prilocaine for peribulbar anesthesia in ocular surgery using single medial canthus injection technique. One hundred patients scheduled for elective ocular surgery were randomly selected to receive 8ml of articaine 4% with 1200,000 adrenaline [ultracaine D-S], or to receive 8ml of prilocaine 4% with 1200,000 adrenaline [citanest fort]. Hyaluronidase 20IU/ml was added to both solutions. The end results were evaluated. Articaine had a more rapid onset of action as regards extra-ocular muscle paralysis, similar potency and less incidence of restoring to supplementary anesthesia. In comparison to prilocaine in single medial canthus peribulbar anesthesia. 4% articane is a good competitor to 4% prilocaine in peribulbar anesthesia