Journal of cataract and refractive surgery
-
J Cataract Refract Surg · Nov 2002
Randomized Controlled Trial Clinical TrialPatient-controlled analgesia and sedation with fentanyl in phacoemulsification under topical anesthesia.
To investigate the effects of intravenous (IV) patient-controlled sedation/analgesia with fentanyl during phacoemulsification surgery under topical anesthesia. ⋯ The results of this study suggest that IV PCA with fentanyl has supplemental effects on analgesia and sedation during cataract surgery under topical anesthesia and increases patient comfort and surgeon satisfaction.
-
J Cataract Refract Surg · Nov 2002
Randomized Controlled Trial Comparative Study Clinical TrialNausea and vomiting after phacoemulsification using topical or retrobulbar anesthesia.
To determine and compare the incidence of postoperative nausea and vomiting in patients having phacoemulsification under topical or retrobulbar anesthesia. ⋯ Topical and retrobulbar anesthesia were associated with a low incidence of PONV in routine phacoemulsification. There were no statistically significant differences in PONV between the 2 anesthesia techniques. No significant correlation was found between the incidence of PONV and the duration of surgery, presence of complications, fasting time, postoperative IOP, or history of PONV or motion sickness.
-
J Cataract Refract Surg · Aug 2002
Randomized Controlled Trial Clinical TrialEffect of hyaluronidase on ocular motility in sub-Tenon's anesthesia: randomized controlled trial.
To assess the effect of hyaluronidase additive on the onset and degree of ocular akinesia in sub-Tenon's anesthesia for cataract surgery. ⋯ The addition of hyaluronidase in sub-Tenon's anesthesia significantly improved the rapidity of the onset of akinesia. This benefit disappeared over time; after 5 minutes the akinesia observed in the group receiving hyaluronidase was similar to that in the group receiving lignocaine alone. Thus, there appears to be no benefit to adding hyaluronidase to the anesthetic solution in terms of final ocular akinesia.
-
J Cataract Refract Surg · Jun 2002
Comment Letter Comparative StudyBandage contact lens after LASIK.
-
J Cataract Refract Surg · Jun 2002
Randomized Controlled Trial Comparative Study Clinical TrialLidocaine versus ropivacaine for topical anesthesia in cataract surgery(1).
To assess the anesthetic efficacy and safety of topical ropivacaine versus topical lidocaine in cataract surgery. ⋯ Topical ropivacaine performed at least as well as topical lidocaine in efficacy and safety in cataract surgery. It provided sufficient and long-lasting analgesia without the need for supplemental intracameral anesthesia in most cases.