Peribulbar anaesthesia for penetrating keratoplasty. A case series.
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.
Full text:
Available
Index:
IMSEAR (South-East Asia)
Main subject:
Pain, Postoperative
/
Postoperative Complications
/
Safety
/
Aged, 80 and over
/
Pain Measurement
/
Aged
/
Bupivacaine
/
Humans
/
Male
/
Keratoplasty, Penetrating
Type of study:
Diagnostic study
Limits:
Aged80
Language:
English
Journal:
Indian J Ophthalmol
Year:
2002
Type:
Article
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