No-patch 23-gauge vitrectomy under topical anesthesia: A pilot study.
Indian J Ophthalmol
;
2011 Mar; 59(2): 143-145
Article
in English
| IMSEAR
| ID: sea-136156
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.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Propoxycaine
/
Vitrectomy
/
Humans
/
Pilot Projects
/
Follow-Up Studies
/
Treatment Outcome
/
Adult
/
Equipment Design
/
Catheters
/
Anesthesia, Local
Type of study:
Diagnostic study
/
Observational study
/
Prognostic study
Language:
English
Journal:
Indian J Ophthalmol
Year:
2011
Type:
Article
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