Topical anesthesia using lidocaine gel for cataract surgery.
J Cataract Refract Surg
; 25(5): 635-9, 1999 May.
Article
in En
| MEDLINE
| ID: mdl-10330636
ABSTRACT
PURPOSE:
To assess the safety and efficacy of topical anesthesia using lidocaine gel in cataract surgery.SETTING:
Department of Ophthalmology, Meir Hospital, Sapir Medical Center, Kfar-Saba, Israel.METHODS:
One hundred cataract procedures (48 manual extracapsular cataract extraction [ECCE] and 52 phacoemulsification) were performed using lidocaine 2% gel as the sole anesthetic agent. The gel was applied 3 to 5 times prior to surgery. Intraoperative and postoperative data were recorded, and patients were asked to grade the pain on a scale of 0 (no pain) to 10 (unbearable pain).RESULTS:
Sixty-two percent of patients having manual ECCE and 74% having phacoemulsification reported no pain during surgery (score 0). The mean pain score in the manual ECCE group was 0.99 +/- 1.64 (SD); 3 patients required an additional intracameral lidocaine injection. The mean score in the phacoemulsification group was 0.72 +/- 1.47; no patient required additional anesthesia.CONCLUSIONS:
Topical application using lidocaine 2% gel is safe and highly effective, especially in clear corneal phacoemulsification. The gel also provides prolonged lubrication, further facilitating surgery.
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Collection:
01-internacional
Database:
MEDLINE
Main subject:
Cataract Extraction
/
Anesthesia, Local
/
Anesthetics, Local
/
Lidocaine
Type of study:
Diagnostic_studies
Limits:
Humans
Language:
En
Journal:
J Cataract Refract Surg
Journal subject:
OFTALMOLOGIA
Year:
1999
Document type:
Article
Affiliation country:
Israel