Journal of AAPOS : the official publication of the American Association for Pediatric Ophthalmology and Strabismus
-
Randomized Controlled Trial Comparative Study Clinical Trial
Subtenons lidocaine injection for postoperative pain relief after strabismus surgery in children: A prospective randomized controlled trial.
We previously reported a pilot study of the use of subtenons lidocaine after primary, unilateral strabismus surgery in children. This study suggested an association between subtenons lidocaine administration at the conclusion of surgery and a reduction of pain in the immediate postoperative period. As a result of this pilot study we performed a full-scale prospective, randomized controlled trial to fully evaluate the efficacy of this intervention. ⋯ This study showed that an intraoperative injection of subtenons lidocaine is associated with a significant reduction in postoperative pain during the first postoperative hour for all types of childhood strabismus surgery. There was no difference between the groups in the need for systemic analgesia.
-
To evaluate the clinical outcome of children with traumatic hyphema treated on an outpatient basis. ⋯ Outpatient management is a feasible option for children with hyphema. Associated posterior ocular segment injuries and hyphema of greater magnitude were related to the worst final visual acuities.