scholarly journals Pterygium surgery with conjunctival limbal autograft with fibrin glue under topical anaesthesia with lignocaine 2% jelly

1970 ◽  
Vol 3 (2) ◽  
pp. 151-154
Author(s):  
C Mithal ◽  
P Agarwal ◽  
N Mithal
Keyword(s):  
Pain Score ◽  
Fibrin Glue ◽  
Functional Outcomes ◽  
Single Case ◽  
Topical Anesthesia ◽  
Topical Anaesthesia ◽  
Experienced Pain ◽  
Pterygium Surgery ◽  
The Mean ◽  
Primary Pterygium

Objective: To evaluate the efficacy of lignocaine 2 % jelly as topical anesthesia in pterygium surgery with conjunctival limbal autograft using fibrin glue. Materials and methods: A non-randomized interventional study was carried out including twenty-one patients who presented with primary pterygium. Under 2% lignocaine jelly, surgical dissection of the pterygium, scraping of corneal bed with crescent blade, excision of Tenon’s capsule, harvesting conjunctival limbal autograft superiorly, and securing it with respect to limbus and stromal orientation with fibrin glue were done. Postoperatively, the patients’ discomfort and pain were evaluated by Wongs pain scoring system. Results: The mean pain score was 0.70 ± 0.97. Only one patient (4.76%) out of the whole series experienced pain who rated more than three on the visual analog scale of 5. Thirteen patients (61.9%) had pain score of zero, that is, no pain. The surgeon’s evaluation of the technique in terms of surgical ease and complications was favorable. There were no dislodged grafts and no cases required suturing. There were no cases of infection, significant inflammation, epithelial problems and reduction in visual acuity. There was a single case of recurrence (4.76%) five months postoperatively which was managed conservatively. Conclusions: Topical anesthesia with lignocaine 2% jelly using fibrin sealant is safe and effective in pterygium surgery allowing for short operative times. It results in low pain and good aesthetic and functional outcomes. Key words: fibrin glue, pterygium, topical anaesthesia, conjunctival autograft DOI: http://dx.doi.org/10.3126/nepjoph.v3i2.5268 Nepal J Ophthalmol 2011; 3(2): 151-154

scholarly journals Pain Perception in Cataract Surgery: Topical versus Peribulbar Anaesthesia

2021 ◽  
Vol 13 (1) ◽  
pp. 50-58
Author(s):  
Indraman Maharjan ◽  
Eliya Shrestha ◽  
Babita Gurung ◽  
Hara Maya Gurung ◽  
Hari Bikram Adhikari ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Pain Score ◽  
Pain Perception ◽  
Pain Scale ◽  
Topical Anaesthesia ◽  
Injection Group ◽  
Peribulbar Anaesthesia ◽  
Patient Reported ◽  
The Mean ◽  
Phacoemulsification Cataract Surgery

Introduction: The requirement for very deep akinesia has decreased with the use of modern phacoemulsification technique for cataract surgery. The use of topical anesthesia has increased as a way to reduce complications associated with anaesthesia with injection and to allow the most rapid visual recovery. The objective of this study was to assess the patient reported pain in phacoemulsification cataract surgery under topical anaesthesia versus peribulbar anaesthesia administered using an injection. Materials and methods: The subjects for this study were the patients undergoing phacoemulsification cataract surgery at HEH. Subjects were divided into two groups, one having topical anaesthesia for phacoemulsification and the other having peribulbar anaesthesia with injection. The data for the study was collected in a ten point visual analogue graphic pain scale. After the surgery was over the patients reported on the felt pain wherein the scale zero was assigned for no pain at all, 1 to 3 for mild pain, 4-6 for moderate pain and 7-10 for severe pain. Results: In total, 366 subjects received peribulbar anaesthesia and 336 subjects received topical anaesthetic drops. The mean pain score between the two groups was found to be higher in the peribulbar injection group (p <0.001). The mean pain score for both males and females was found to be higher in the peribulbar injection group (p<0.001 for both genders). Conclusion: Topical anaesthesia for phacoemulsification cataract surgery tends to cause less pain and discomfort for patients.

Topical Anesthesia in 27-Gauge Pars Plana Vitrectomy

2018 ◽  
Vol 2 (2) ◽  
pp. 100-103
Author(s):  
Abdallah M. Jeroudi ◽  
Wen-Shi Shieh ◽  
Yicheng Chen ◽  
Daniel B. Connors ◽  
Kevin J. Blinder ◽  
...  
Keyword(s):  
Pain Score ◽  
Pars Plana Vitrectomy ◽  
Case Series ◽  
Pain Scale ◽  
Topical Anesthesia ◽  
Pain Scores ◽  
Lidocaine Gel ◽  
Pars Plana ◽  
Intraoperative Pain ◽  
The Mean

Purpose: To explore the safety, comfort, and feasibility of topical anesthesia in 27-gauge pars plana vitrectomy surgery. Methods: A prospective, observational case series of 37 nonconsecutive patients undergoing 3-port, 27-gauge pars plana vitrectomy under topical anesthesia with lid block from July 2016 to March 2017 with a single surgeon was performed. Topical anesthesia was achieved with proparacaine 0.5% drops and 2% lidocaine gel. Surgery was performed for select indications with carefully selected patients amenable to topical anesthesia. Patients were queried and observed to identify the most painful steps of the case and to rate their intraoperative and postoperative pain scores on a 1- to 10-point pain scale. Results: The mean intraoperative pain score was 2.1 with the most painful steps rated as scleral depression (37.8%), trocar/cannula insertion (24.3%), and conjunctival coaptation (24.3%). When correlating the overall intraoperative pain score with the self-identified most painful step, the mean pain scores were highest for endolaser (2.6), scleral depression (2.1), conjunctival coaptation (2.1), and trocar/cannula insertion (1.6). Supplemental intravenous anesthesia was requested once by the surgeon in 54% of the cases. No rescue with local infiltrative anesthesia was required. The mean pain scores were 0.7 and 0 at postoperative day 1 and week 1. No intraoperative or postoperative complications were encountered. Conclusions: Topical anesthesia for 27-gauge pars plana vitrectomy is a safe and feasible anesthesia option for carefully selected patients for certain surgical indications.

scholarly journals Outcomes of manual small incision cataract surgery under topical anesthesia with lignocaine 2% jelly

1970 ◽  
Vol 4 (1) ◽  
pp. 114-118 ◽  
Author(s):  
C Mithal ◽  
P Agarwal ◽  
N Mithal
Keyword(s):  
Cataract Surgery ◽  
Pain Score ◽  
Case Series ◽  
Topical Anesthesia ◽  
Surgical Experience ◽  
Small Incision Cataract Surgery ◽  
Small Incision ◽  
Surgery Patient ◽  
The Mean ◽  
Operating Surgeon

Introduction: The manual small incision cataract surgery (MSICS) is the surgery of choice in countries with a huge back-log of cataract blindness. Objective: To evaluate the outcome of manual small incision cataract surgery (MSICS) under topical anesthesia with lignocaine 2 % jelly. Materials and methods: This study was a prospective interventional case series. One hundred and twenty eight patients of senile cataract were operated by MSICS under topical anesthesia using lignocaine 2% jelly. No intra-cameral anesthesia was used. The patients and the single operating surgeon were given a questionnaire to evaluate their experience in terms of pain, surgical experience and complications. Results: The mean pain score was 0.82 (SD ± 0.97). Seventy-one patients (55.4 %) had a pain score of zero, that is, no pain. One hundred and twenty one patients (94.5 %) had a score of 3 or less, that is, mild to none pain. All the surgeries except two were complicationfree and the surgeon’s experience was favorable in terms of the patient’s cooperation, anterior chamber stability, difficulty, and complications. Conclusions: MSICS can be performed under topical anesthesia with lignocaine jelly, which makes the surgery patient-friendly, without compromising the outcome. DOI: http://dx.doi.org/10.3126/nepjoph.v4i1.5862 NEPJOPH 2012; 4(1): 114-118

Ropivacaine for Topical Anesthesia in Pterygium Surgery With Fibrin Glue for Conjunctival Autograft

Cornea ◽  
2010 ◽  
Vol 29 (4) ◽  
pp. 375-376 ◽  
Author(s):  
Antonio Caccavale ◽  
Filippo Romanazzi ◽  
Manuela Imparato ◽  
Angelo Negri ◽  
Alessandro Porta ◽  
...  
Keyword(s):  
Fibrin Glue ◽  
Topical Anesthesia ◽  
Conjunctival Autograft ◽  
Pterygium Surgery

scholarly journals Patient satisfaction of pterygium surgery using fibrin glue versus suture autograft

2019 ◽  
Vol 16 (3) ◽  
pp. 186-192
Author(s):  
Nur Reza Mohamad Noh ◽  
Geng-Yi Yong ◽  
Siew-Ting Lee ◽  
Kui-Feng Low ◽  
Shin-Wei Pan
Keyword(s):  
Patient Satisfaction ◽  
Fibrin Glue ◽  
Suture Technique ◽  
Postoperative Patient ◽  
Serious Adverse Event ◽  
Duration Of Surgery ◽  
Suture Group ◽  
Study Population ◽  
Pterygium Surgery ◽  
The Mean

Purpose: To compare pterygium surgery with fibrin glue autografts and sutured autografts in terms of length of surgery time and postoperative patient satisfaction. Methods: All pterygium operations performed at Sibu Hospital (Sarawak, Malaysia) between October 1, 2012 and September 30, 2013 were included. Results: Eighty-one cases were included in the study. The fibrin glue group and suture group had 33 and 48 cases, respectively. The mean age of the patients was 50.56 (SD: 7.61). The fibrin glue group had a shorter mean duration of surgery (17.18 minutes, SD: 10.66) compared to the suture group (22.60 minutes, SD: 12.88) (P = 0.05). Patient satisfaction at first week review was 93.9% for the fibrin glue group and 75.0% for the suture group (P = 0.027, OR 5.2 [95%CI: 1.1, 24.9]). Patient satisfaction at sixth week review was 97.0% for the fibrin glue group and 77.1% for the suture group (P = 0.023, OR 9.5 [95%CI: 1.2, 77.8]). There was no serious adverse event in this study population. Conclusion: Fibrin glue has shorter mean duration of surgery and significantly higher patient satisfaction at first week and sixth week post-pterygium surgery compared to the suture technique.

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