Comparison of sub-Tenon's anaesthesia in phacoemulsification with 3 and 5 mL lidocaine
AIM: To compare the outcomes of combined phacoemulsification and non-penetrating deep sclerectomy(P-DS)with combined phacoemulsification and trabeculectomy(P-T)in patients who have cataract and moderate-to-severe primary open angle glaucoma(POAG)or pseudoexfoliative glaucoma(PXG).<p>METHODS: I...
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doaj-b16ee1375e3a466b9542285551bce8e42020-11-24T22:57:36ZengPress of International Journal of Ophthalmology (IJO PRESS)Guoji Yanke Zazhi1672-51231672-51232015-11-0115111847185010.3980/j.issn.1672-5123.2015.11.03Comparison of sub-Tenon's anaesthesia in phacoemulsification with 3 and 5 mL lidocaineMuge Coban-Karatas0Oya Yalcin Cok1Rana Altan-Yaycioglu2Department of Ophthalmology, School of Medicine, Baskent University, Adana 01250, TurkeyDepartment of Anesthesiology, School of Medicine, Baskent University, Adana 01250, TurkeyDepartment of Ophthalmology, School of Medicine, Baskent University, Adana 01250, TurkeyAIM: To compare the outcomes of combined phacoemulsification and non-penetrating deep sclerectomy(P-DS)with combined phacoemulsification and trabeculectomy(P-T)in patients who have cataract and moderate-to-severe primary open angle glaucoma(POAG)or pseudoexfoliative glaucoma(PXG).<p>METHODS: In this prospective randomized study 40 eyes of 40 patients with cataract and POAG or PXG were evaluated. Complete eye examination and glaucoma tests were performed in all patients. Combined P-DS and P-T were performed under local anesthesia in 20 eyes in each group. Visual acuity(VA), intraocular pressure(IOP)and number of glaucoma medications were all recorded preoperatively and postoperative on 10d, 1, 3, 6 and 12mo. Complications, laser goniopuncture in P-DS group and needling in P-T group were also recorded.<p>RESULTS: The age(P-DS, 66.3±11.0 and P-T, 70.2±9.3y)and sex distribution(P-DS, 7 female and 13 male, P-T, 9 female and 11 male)were similar in both groups(<i>P</i>>0.05). Number of POAG and PXG patients were 12 and 8, and 13 and 7 in P-DS and P-T groups, respectively(<i>P</i>>0.05). There was no difference between groups in terms of preoperative VA(P-DS, 0.69±0.22 and P-T, 0.76±0.22 logMAR), IOP(P-DS, 17.9±1.6 and P-T, 18.1±1.9 mm Hg)and number of medications(P-DS: 2.7±0.7 and P-T: 2.9±0.8),(<i>P</i>>0.05). VA increased, IOP and number of medications decreased in both groups postoperatively(<i>P</i><0.01). Postoperative IOPs were 15.0±1.7 and 14.5±1.6 mm Hg in P-DS and P-T groups respectively(<i>P</i>=0.472). Postoperative number of medications were slightly better in P-T group(0.5±0.7)than in P-DS group(0.8±0.9)(<i>P</i>=0.307). There were no complications in both groups. Laser goniopuncture was applied in 7 eyes(once in 5 eyes and twice in 2 eyes)in P-DS group. Needling was performed in 1 eye in P-T group. <p>CONCLUSION: In patients with coexisting cataract and glaucoma, both combined P-DS and P-T may be performed safely. Reliability and efficacy were similar in both groups. Follow-up of P-DS should be done cautiously and when necessary laser goniopuncture should be performed.http://ies.ijo.cn/cn_publish/2015/11/201511003.pdfsub-Tenon's anaesthesiaintraocular pressurephacoemulsificationakinesiapain |
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English |
format |
Article |
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DOAJ |
author |
Muge Coban-Karatas Oya Yalcin Cok Rana Altan-Yaycioglu |
spellingShingle |
Muge Coban-Karatas Oya Yalcin Cok Rana Altan-Yaycioglu Comparison of sub-Tenon's anaesthesia in phacoemulsification with 3 and 5 mL lidocaine Guoji Yanke Zazhi sub-Tenon's anaesthesia intraocular pressure phacoemulsification akinesia pain |
author_facet |
Muge Coban-Karatas Oya Yalcin Cok Rana Altan-Yaycioglu |
author_sort |
Muge Coban-Karatas |
title |
Comparison of sub-Tenon's anaesthesia in phacoemulsification with 3 and 5 mL lidocaine |
title_short |
Comparison of sub-Tenon's anaesthesia in phacoemulsification with 3 and 5 mL lidocaine |
title_full |
Comparison of sub-Tenon's anaesthesia in phacoemulsification with 3 and 5 mL lidocaine |
title_fullStr |
Comparison of sub-Tenon's anaesthesia in phacoemulsification with 3 and 5 mL lidocaine |
title_full_unstemmed |
Comparison of sub-Tenon's anaesthesia in phacoemulsification with 3 and 5 mL lidocaine |
title_sort |
comparison of sub-tenon's anaesthesia in phacoemulsification with 3 and 5 ml lidocaine |
publisher |
Press of International Journal of Ophthalmology (IJO PRESS) |
series |
Guoji Yanke Zazhi |
issn |
1672-5123 1672-5123 |
publishDate |
2015-11-01 |
description |
AIM: To compare the outcomes of combined phacoemulsification and non-penetrating deep sclerectomy(P-DS)with combined phacoemulsification and trabeculectomy(P-T)in patients who have cataract and moderate-to-severe primary open angle glaucoma(POAG)or pseudoexfoliative glaucoma(PXG).<p>METHODS: In this prospective randomized study 40 eyes of 40 patients with cataract and POAG or PXG were evaluated. Complete eye examination and glaucoma tests were performed in all patients. Combined P-DS and P-T were performed under local anesthesia in 20 eyes in each group. Visual acuity(VA), intraocular pressure(IOP)and number of glaucoma medications were all recorded preoperatively and postoperative on 10d, 1, 3, 6 and 12mo. Complications, laser goniopuncture in P-DS group and needling in P-T group were also recorded.<p>RESULTS: The age(P-DS, 66.3±11.0 and P-T, 70.2±9.3y)and sex distribution(P-DS, 7 female and 13 male, P-T, 9 female and 11 male)were similar in both groups(<i>P</i>>0.05). Number of POAG and PXG patients were 12 and 8, and 13 and 7 in P-DS and P-T groups, respectively(<i>P</i>>0.05). There was no difference between groups in terms of preoperative VA(P-DS, 0.69±0.22 and P-T, 0.76±0.22 logMAR), IOP(P-DS, 17.9±1.6 and P-T, 18.1±1.9 mm Hg)and number of medications(P-DS: 2.7±0.7 and P-T: 2.9±0.8),(<i>P</i>>0.05). VA increased, IOP and number of medications decreased in both groups postoperatively(<i>P</i><0.01). Postoperative IOPs were 15.0±1.7 and 14.5±1.6 mm Hg in P-DS and P-T groups respectively(<i>P</i>=0.472). Postoperative number of medications were slightly better in P-T group(0.5±0.7)than in P-DS group(0.8±0.9)(<i>P</i>=0.307). There were no complications in both groups. Laser goniopuncture was applied in 7 eyes(once in 5 eyes and twice in 2 eyes)in P-DS group. Needling was performed in 1 eye in P-T group. <p>CONCLUSION: In patients with coexisting cataract and glaucoma, both combined P-DS and P-T may be performed safely. Reliability and efficacy were similar in both groups. Follow-up of P-DS should be done cautiously and when necessary laser goniopuncture should be performed. |
topic |
sub-Tenon's anaesthesia intraocular pressure phacoemulsification akinesia pain |
url |
http://ies.ijo.cn/cn_publish/2015/11/201511003.pdf |
work_keys_str_mv |
AT mugecobankaratas comparisonofsubtenonsanaesthesiainphacoemulsificationwith3and5mllidocaine AT oyayalcincok comparisonofsubtenonsanaesthesiainphacoemulsificationwith3and5mllidocaine AT ranaaltanyaycioglu comparisonofsubtenonsanaesthesiainphacoemulsificationwith3and5mllidocaine |
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