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• W1965624331 abstract "In Brief Purpose: To compare the safety and efficacy of topical anesthesia versus peribulbar anesthesia for 23-gauge vitrectomy without sedation. Methods: Selected group of 60 patients with vitreous hemorrhage were divided into 2 groups and underwent 23-gauge vitrectomy. Group 1 used topical anesthesia, whereas Group 2 used peribulbar anesthesia. A 5-point Visual Analogue Scale was used to assess patients' pain score and surgeon's ease while operating. Any complications thereof were made note of. Results: Mean overall patients' pain scores were 1.77 ± 0.50 in Group 1 and 1.77 ± 0.43 in Group 2. Surgeon's comfort score was recorded as 0.3 ± 0.53 and 0.17 ± 0.38 in Groups 1 and 2, respectively. Mean surgical time was 33.7 ± 7.1 minutes and 30.1 ± 6.2 minutes in Groups 1 and 2, respectively. These means were not statistically significant (P > 0.05). No patient required sedation or anesthesia supplementation. Group 1 patients reported maximum pain during trocar entry, whereas Group 2 reported maximum pain during block. Group 2 patients also reported significant conjunctival chemosis and lid edema postblock. Conclusion: Topical anesthesia without any sedation is a viable option, comparable to peribulbar block, for performing vitrectomy in selected group of patients requiring vitrectomy and thus avoiding complication of injection anesthesia and quicker postoperative recovery. Topical anesthesia avoids needle-related complications of ocular blocks and is a routinely practiced option for cataract surgery. Its role as a viable option for selected simple cases of vitrectomy versus peribulbar block, which is arguably current method of choice for local anesthesia for vitrectomy, needs to be assessed." @default.
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• W1965624331 date "2013-07-01" @default.
• W1965624331 modified "2023-09-23" @default.
• W1965624331 title "COMPARISON OF TOPICAL ANESTHESIA AND PERIBULBAR ANESTHESIA FOR 23-GAUGE VITRECTOMY WITHOUT SEDATION" @default.
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• W1965624331 doi "https://doi.org/10.1097/iae.0b013e31827ced51" @default.
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