Assuntos
Infecções por Acinetobacter/complicações , Cuidados Críticos , Infecções Oculares Bacterianas/etiologia , Ceratite/microbiologia , Infecções por Pseudomonas/complicações , Inconsciência/complicações , Acidentes de Trânsito , Adulto , Idoso , Criança , Ponte de Artéria Coronária , Evolução Fatal , Feminino , Humanos , MasculinoRESUMO
One of the main aims of small incisions in cataract surgery is to reduce surgically induced astigmatism to a minimum. A prospective study was set up to compare sutured with unsutured 6 mm scleral pocket frown incision wounds for phacoemulsification. Videokeratography was used to study the topographical changes induced by surgery. Two groups of 15 patients were allocated to have either sutured or unsutured 6 mm frown incisions for their phacoemulsification. Videokeratography was performed 1 day pre-operatively, and repeated 6 weeks post-operatively. Statistical analysis of the resultant data is discussed. The results show a modest flattening in the vertical meridian in both groups of patients which was slightly larger in the unsutured group. The astigmatic change did not differ significantly between the two groups. The 6 mm scleral pocket incisions induce a small amount of astigmatism whether sutured or unsutured. However, we felt it was perhaps safer to suture an incision of that size. Videokeratography is an invaluable tool for collection of outcome audit data, and allows for accurate graphical assessment of the effect of differing surgical approaches.
Assuntos
Facoemulsificação , Suturas , Idoso , Antropometria , Astigmatismo/patologia , Astigmatismo/prevenção & controle , Córnea/patologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/prevenção & controle , Estudos Prospectivos , Resultado do Tratamento , Gravação em VídeoRESUMO
A prospective study was performed to evaluate and compare the effect of subconjunctival bupivacaine and topical amethocaine on pain relief after strabismus surgery. A total of 40 children scheduled for elective operation were randomly allocated to receive either subconjunctival bupivacaine or topical amethocaine at the end of surgery. Post-operative pain was evaluated using a four-point assessment score. We show that both techniques provide good post-operative pain relief. We advocate that either could be used routinely in strabismus surgery although topical amethocaine is easier to administer.
Assuntos
Bupivacaína/administração & dosagem , Dor Pós-Operatória/prevenção & controle , Estrabismo/cirurgia , Tetracaína/administração & dosagem , Administração Tópica , Criança , Pré-Escolar , Feminino , Humanos , Injeções , Masculino , Medição da Dor , Estudos ProspectivosRESUMO
A prospective study was performed to assess the effect of subconjunctival bupivacaine on pain relief following strabismus surgery. A total of 36 children were randomly allocated to receive either subconjunctival infiltration of bupivacaine or normal saline at the conclusion of surgery. Post-operative pain was evaluated using a 4-point assessment score. Subconjunctival bupivacaine provided significantly better post-operative pain relief (P < 0.001). We suggest that it could be used routinely in strabismus surgery, as it improves post-operative comfort thereby facilitating day case surgery.
Assuntos
Bupivacaína/uso terapêutico , Dor Pós-Operatória/tratamento farmacológico , Estrabismo/cirurgia , Criança , Pré-Escolar , Túnica Conjuntiva , Feminino , Humanos , Injeções/métodos , Masculino , Estudos ProspectivosRESUMO
A prospective study was undertaken to evaluate a simple cautery technique for the correction of involutional lower lid entropion in 50 patients. After a 12 month follow-up period all patients were free of entropion. Only one patient needed to have the procedure repeated because of recurrence. The technique was found to be simple, effective, safe, and required very little time and skill.
