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Article: Topical anesthesia in phacotrabeculectomy

TitleTopical anesthesia in phacotrabeculectomy
Authors
Issue Date2002
PublisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.glaucomajournal.com
Citation
Journal Of Glaucoma, 2002, v. 11 n. 3, p. 271-274 How to Cite?
AbstractPurpose: To study the safety and efficacy of topical anesthesia alone, without systemic sedation, in phacotrabeculectomy for cataract and primary open-angle glaucoma. Methods: In this prospective study, topical anesthesia with 2% lidocaine hydrochloride jelly without systemic sedation was used for combined phacoemulsification, posterior chamber intraocular lens implantation, and trabeculectomy in consecutive patients with primary open-angle glaucoma and concurrent cataract at the United Christian Hospital, Kowloon, Hong Kong, from September 2000 to May 2001. Visual analog pain score and change in vital signs were used to assess the intraoperative pain experience. Other outcome measures included postoperative visual acuity and intraocular pressure at 3 months. Results: Twenty-two eyes of 22 consecutive patients were included in the study. The mean intraoperative pain score was 0.9 (range, 0-3). Three patients reported discomfort intraoperatively. No injection of supplementary anesthetic was required in any of the eyes. None of the patients had significant increase of pulse rate or blood pressure during the whole surgical procedure. Six patients required oral analgesic for postoperative discomfort. The mean preoperative medically treated IOP was 20.3 ± 5.9 mm Hg and the mean postoperative IOP at 3 months was 14.4 ± 4.7 mm Hg. All except two patients had improved visual acuity. There was no serious intraoperative or postoperative complication. Conclusion: Topical 2% lidocaine hydrochloride jelly without systemic sedation may be a safe and effective anesthetic method in phacotrabeculectomy for patients with primary open-angle glaucoma with coexisting cataract.
Persistent Identifierhttp://hdl.handle.net/10722/176385
ISSN
2015 Impact Factor: 2.102
2015 SCImago Journal Rankings: 1.477
ISI Accession Number ID
References

 

DC FieldValueLanguage
dc.contributor.authorLai, JSMen_US
dc.contributor.authorTham, CCYen_US
dc.contributor.authorLam, DSCen_US
dc.date.accessioned2012-11-26T09:10:57Z-
dc.date.available2012-11-26T09:10:57Z-
dc.date.issued2002en_US
dc.identifier.citationJournal Of Glaucoma, 2002, v. 11 n. 3, p. 271-274en_US
dc.identifier.issn1057-0829en_US
dc.identifier.urihttp://hdl.handle.net/10722/176385-
dc.description.abstractPurpose: To study the safety and efficacy of topical anesthesia alone, without systemic sedation, in phacotrabeculectomy for cataract and primary open-angle glaucoma. Methods: In this prospective study, topical anesthesia with 2% lidocaine hydrochloride jelly without systemic sedation was used for combined phacoemulsification, posterior chamber intraocular lens implantation, and trabeculectomy in consecutive patients with primary open-angle glaucoma and concurrent cataract at the United Christian Hospital, Kowloon, Hong Kong, from September 2000 to May 2001. Visual analog pain score and change in vital signs were used to assess the intraoperative pain experience. Other outcome measures included postoperative visual acuity and intraocular pressure at 3 months. Results: Twenty-two eyes of 22 consecutive patients were included in the study. The mean intraoperative pain score was 0.9 (range, 0-3). Three patients reported discomfort intraoperatively. No injection of supplementary anesthetic was required in any of the eyes. None of the patients had significant increase of pulse rate or blood pressure during the whole surgical procedure. Six patients required oral analgesic for postoperative discomfort. The mean preoperative medically treated IOP was 20.3 ± 5.9 mm Hg and the mean postoperative IOP at 3 months was 14.4 ± 4.7 mm Hg. All except two patients had improved visual acuity. There was no serious intraoperative or postoperative complication. Conclusion: Topical 2% lidocaine hydrochloride jelly without systemic sedation may be a safe and effective anesthetic method in phacotrabeculectomy for patients with primary open-angle glaucoma with coexisting cataract.en_US
dc.languageengen_US
dc.publisherLippincott Williams & Wilkins. The Journal's web site is located at http://www.glaucomajournal.comen_US
dc.relation.ispartofJournal of Glaucomaen_US
dc.subject.meshAgeden_US
dc.subject.meshAged, 80 And Overen_US
dc.subject.meshAnesthesia, Local - Methodsen_US
dc.subject.meshAnesthetics, Local - Administration & Dosageen_US
dc.subject.meshCataract - Complications - Therapyen_US
dc.subject.meshFemaleen_US
dc.subject.meshGelsen_US
dc.subject.meshGlaucoma, Open-Angle - Complications - Surgeryen_US
dc.subject.meshHumansen_US
dc.subject.meshIntraocular Pressureen_US
dc.subject.meshLens Implantation, Intraocularen_US
dc.subject.meshLidocaine - Administration & Dosageen_US
dc.subject.meshMaleen_US
dc.subject.meshMiddle Ageden_US
dc.subject.meshPain Measurementen_US
dc.subject.meshPain, Postoperative - Diagnosisen_US
dc.subject.meshPhacoemulsificationen_US
dc.subject.meshProspective Studiesen_US
dc.subject.meshTrabeculectomyen_US
dc.subject.meshVisual Acuityen_US
dc.titleTopical anesthesia in phacotrabeculectomyen_US
dc.typeArticleen_US
dc.identifier.emailLai, JSM: laism@hku.hken_US
dc.identifier.authorityLai, JSM=rp00295en_US
dc.description.naturelink_to_subscribed_fulltexten_US
dc.identifier.doi10.1097/00061198-200206000-00017-
dc.identifier.pmid12140406-
dc.identifier.scopuseid_2-s2.0-0036278369en_US
dc.relation.referenceshttp://www.scopus.com/mlt/select.url?eid=2-s2.0-0036278369&selection=ref&src=s&origin=recordpageen_US
dc.identifier.volume11en_US
dc.identifier.issue3en_US
dc.identifier.spage271en_US
dc.identifier.epage274en_US
dc.identifier.isiWOS:000176207000017-
dc.publisher.placeUnited Statesen_US
dc.identifier.scopusauthoridLai, JSM=7401939748en_US
dc.identifier.scopusauthoridTham, CCY=7006081241en_US
dc.identifier.scopusauthoridLam, DSC=35500200200en_US

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