HomeArchiveVolume 5Volume 5, issue 2Topical anesthesia versus peribulbar anesthesia in phacoemulsification cataract surgery and intraocular lens implantation
Incaf Elboukhani1, Choaib Essadouni1, Adil Mchachi1, Leila Benhmidoune1, Abderrahim Chakib1, Rayad Rachid1, Mohamed Elbelhadji1
1DEPARTMENT OF ADULT OPHTHALMOLOGY, HOSPITAL AUGUST 20, 1953; CHU IBN ROCHD; HASSAN II UNIVERSITY OF CASABLANCA; MOROCCO
Abstract

Topical anesthesia during phacoemulsification cataract surgery has become the best choice for ophthalmologists, which broadens the indications for surgery, and eliminates the risk of peribulbar injections. The aim of our study is to assess the advantages and disadvantages, the efficacy and the tolerance of this protocol. Prospective study extending from January 2018 to December 2019, including 116 patients operated for cataracts under topical anesthesia (group 1), and 179 patients under peribulbar anesthesia (group 2). All patients were operated by phacoemulsification. The patients evaluated their pain on a visual analog scale graduated from 1 to 10. The two groups were comparable in age, gender and history of high blood pressure. All patients received premedication before surgery (Atarax). It was the first eye operated for cataracts in 79 patients in group 1 and 75 patients in group 2. The two groups did not differ significantly in systolic blood pressure rate (p= 0,36), pain score (p=0.54), duration of surgery (p=0.52), anaesthesia-related intraoperative difficulties (p=0.17), or intraoperative surgical complication rate (p=0.49) or blood oxygen saturation (p=0.74). However, in the peribulbar groups, better patient and surgeon satisfaction scores were obtained (P < .005).

Cite this article:
Vancouver
Elboukhani I, Essadouni C, Mchachi A, Benhmidoune L, Chakib A, Rachid R, Elbelhadji M. Topical anesthesia versus peribulbar anesthesia in phacoemulsification cataract surgery and intraocular lens implantation. J Clin Investig Surg. 2020 Nov 25;5(2):100-103. Available from: https://www.proscholar.org/jcis/archive/vol.5/iss.2/8/ doi: 10.25083/2559.5555/5.2/100.103
NLM
Elboukhani I, Essadouni C, Mchachi A, Benhmidoune L, Chakib A, Rachid R, Elbelhadji M. Topical anesthesia versus peribulbar anesthesia in phacoemulsification cataract surgery and intraocular lens implantation. J Clin Investig Surg. 2020 Nov;5(2):100-103. doi: 10.25083/2559.5555/5.2/100.103.
AMA
Elboukhani I, Essadouni C, Mchachi A, Benhmidoune L, Chakib A, Rachid R, Elbelhadji M. Topical anesthesia versus peribulbar anesthesia in phacoemulsification cataract surgery and intraocular lens implantation. J Clin Investig Surg. 2020;5(2):100-103.
MLA
Elboukhani, Incaf, et al. “Topical anesthesia versus peribulbar anesthesia in phacoemulsification cataract surgery and intraocular lens implantation.” Journal of Clinical and Investigative Surgery 5.2 (2020): 100-103. doi:10.25083/2559.5555/5.2/100.103.
APA
Elboukhani, I., Essadouni, C., Mchachi, A., Benhmidoune, L., Chakib, A., Rachid, R., & Elbelhadji, M. (2020). Topical anesthesia versus peribulbar anesthesia in phacoemulsification cataract surgery and intraocular lens implantation. Journal of Clinical and Investigative Surgery, 5(2), 100-103.
ISO 690
Elboukhani
, Incaf, et al. Topical anesthesia versus peribulbar anesthesia in phacoemulsification cataract surgery and intraocular lens implantation. Journal of Clinical and Investigative Surgery, 2020, 5.2: 100-103.