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Article: Local anaesthesia for vitreoretinal surgery: A case-control study of 200 cases

TitleLocal anaesthesia for vitreoretinal surgery: A case-control study of 200 cases
Authors
KeywordsLocal anaesthesia
Retinal detachment
Surgery
Vitreoretinal
Issue Date1998
PublisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/eye
Citation
Eye, 1998, v. 12 n. 3 A, p. 407-411 How to Cite?
AbstractPurpose. In the United Kingdom the majority of vitreoretinal (VR) surgery is performed under general anaesthesia (GA). The aim of this study was to demonstrate the scope of local anaesthesia (LA) for VR surgery, to measure the acceptance of LA to patients and surgeons and to compare the surgical outcomes, complication rates and duration of the surgical procedures under LA and GA. Methods. A case-control study was undertaken to compare 100 cases performed under LA with 100 matched cases performed under GA. The matching of cases was based on multiple criteria such as configuration and complexity of retinal detachment, the involvement of the macula, the number and site of retinal tears, presence and severity of proliferative vitreoretinopathy, experience of the surgeon and the type of the surgical procedure. A clinical audit was also carried out on 65 successive patients using a questionnaire to determine the acceptability of LA to patients and surgeons. Results. Anatomical and visual success rates, and intra-operative and post-operative complications, were similar in cases carried out under LA and GA. The mean duration of the surgery (excluding anaesthetic time) was significantly shorter for LA than GA procedures (p < 0.001). The acceptance for LA was high for both patients and the operating surgeons. Conclusions. We found that VR surgery can be safely and efficiently performed under LA. Adoption of LA has increased our throughput.
Persistent Identifierhttp://hdl.handle.net/10722/146240
ISSN
2015 Impact Factor: 2.213
2015 SCImago Journal Rankings: 1.132
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorRao, GPen_HK
dc.contributor.authorWong, Den_HK
dc.contributor.authorGroenewald, Cen_HK
dc.contributor.authorMcGalliard, JNen_HK
dc.contributor.authorJones, Aen_HK
dc.contributor.authorRidges, PJGen_HK
dc.date.accessioned2012-04-10T01:49:37Z-
dc.date.available2012-04-10T01:49:37Z-
dc.date.issued1998en_HK
dc.identifier.citationEye, 1998, v. 12 n. 3 A, p. 407-411en_HK
dc.identifier.issn0950-222Xen_HK
dc.identifier.urihttp://hdl.handle.net/10722/146240-
dc.description.abstractPurpose. In the United Kingdom the majority of vitreoretinal (VR) surgery is performed under general anaesthesia (GA). The aim of this study was to demonstrate the scope of local anaesthesia (LA) for VR surgery, to measure the acceptance of LA to patients and surgeons and to compare the surgical outcomes, complication rates and duration of the surgical procedures under LA and GA. Methods. A case-control study was undertaken to compare 100 cases performed under LA with 100 matched cases performed under GA. The matching of cases was based on multiple criteria such as configuration and complexity of retinal detachment, the involvement of the macula, the number and site of retinal tears, presence and severity of proliferative vitreoretinopathy, experience of the surgeon and the type of the surgical procedure. A clinical audit was also carried out on 65 successive patients using a questionnaire to determine the acceptability of LA to patients and surgeons. Results. Anatomical and visual success rates, and intra-operative and post-operative complications, were similar in cases carried out under LA and GA. The mean duration of the surgery (excluding anaesthetic time) was significantly shorter for LA than GA procedures (p < 0.001). The acceptance for LA was high for both patients and the operating surgeons. Conclusions. We found that VR surgery can be safely and efficiently performed under LA. Adoption of LA has increased our throughput.en_HK
dc.languageengen_US
dc.publisherNature Publishing Group. The Journal's web site is located at http://www.nature.com/eyeen_HK
dc.relation.ispartofEyeen_HK
dc.subjectLocal anaesthesiaen_HK
dc.subjectRetinal detachmenten_HK
dc.subjectSurgeryen_HK
dc.subjectVitreoretinalen_HK
dc.subject.meshAnesthesia, Generalen_US
dc.subject.meshAnesthesia, Local - Psychologyen_US
dc.subject.meshCase-Control Studiesen_US
dc.subject.meshHumansen_US
dc.subject.meshIntraoperative Complicationsen_US
dc.subject.meshIntraoperative Perioden_US
dc.subject.meshMedical Auditen_US
dc.subject.meshPatient Satisfactionen_US
dc.subject.meshPostoperative Complicationsen_US
dc.subject.meshRetina - Surgeryen_US
dc.subject.meshRetinal Detachment - Surgeryen_US
dc.subject.meshVisual Acuityen_US
dc.subject.meshVitreous Body - Surgeryen_US
dc.titleLocal anaesthesia for vitreoretinal surgery: A case-control study of 200 casesen_HK
dc.typeArticleen_HK
dc.identifier.emailWong, D: shdwong@hku.hken_HK
dc.identifier.authorityWong, D=rp00516en_HK
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.pmid9775241-
dc.identifier.scopuseid_2-s2.0-0031872910en_HK
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0031872910&selection=ref&src=s&origin=recordpageen_HK
dc.identifier.volume12en_HK
dc.identifier.issue3 Aen_HK
dc.identifier.spage407en_HK
dc.identifier.epage411en_HK
dc.identifier.isiWOS:000074777100018-
dc.publisher.placeUnited Kingdomen_HK
dc.identifier.scopusauthoridRao, GP=18837677600en_HK
dc.identifier.scopusauthoridWong, D=7401536078en_HK
dc.identifier.scopusauthoridGroenewald, C=6601917086en_HK
dc.identifier.scopusauthoridMcGalliard, JN=7003380072en_HK
dc.identifier.scopusauthoridJones, A=7407102284en_HK
dc.identifier.scopusauthoridRidges, PJG=17036406900en_HK

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