Comparison of Ptosis Occurrence after Cataract Surgery Depending on Anesthetic Methods
Journal of the Korean Ophthalmological Society
;
: 1226-1230, 2012.
Artículo
en Coreano
| WPRIM
| ID: wpr-20161
ABSTRACT
PURPOSE:
The authors of the present study conducted a comparative analysis of procaine hydrochloride topical anesthesia and Nadbath-Rehman-Ellis akinesia to observe orbicularis oculi stress against the eyelid speculum and occurrence of postoperative ptosis.METHODS:
In 40 eyes of 20 patients, 1 eye underwent a cataract operation by topical anesthesia and the other eye underwent Nadbath-Rehman-Ellis akinesiaDepending on the anesthetic method, the 2 groups were evaluated to determine the difference in marginal reflex distance and levator function after the surgery.RESULTS:
There were no significant differences between the 2 groups in the mean preoperative MRD1 which was 2.5 +/- 0.4 mm and levator function which was 9.0 +/- 1.1 mm. After 1 week and 4 weeks, the mean MRD1 on eyes with topical anesthesia was 2.0 +/- 0.3 mm and 2.3 +/- 0.3 mm, respectively, and the mean MRD1 on eyes with Nadbath-Rehman-Ellis akinesia was 2.3 +/- 0.2 mm and 2.4 +/- 0.4 mm, respectively, which was significantly lower (p = 0.046, 0.042). The levator functions showed no significant differences. The reduction of MRD1 over 2 mm was shown only in the group with topical anesthesia which was significantly higher in comparison to the group with Nadbath-Rehman-Ellis akinesia which had none.CONCLUSIONS:
In cataract surgery, Nadbath-Rehman-Ellis akinesia can reduce damage to the levator aponeurosis decreasing the occurrence of postoperative ptosis.
Texto completo:
Disponible
Índice:
WPRIM (Pacífico Occidental)
Asunto principal:
Procaína
/
Reflejo
/
Instrumentos Quirúrgicos
/
Catarata
/
Ojo
/
Párpados
/
Anestesia
Límite:
Humanos
Idioma:
Coreano
Revista:
Journal of the Korean Ophthalmological Society
Año:
2012
Tipo del documento:
Artículo
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