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Abstract #10017 Published in IGR 5-3
Topical versus contact anesthesia in conventional trabeculectomy: prospective randomized study
Pablo Julvez LE; Perez Olivan S; Ferreras Amed A; Larrosa Poves JM; Gomez Martinez ML; Honrubia Lopez FMArchivos de la Sociedad Española de Oftalmologia 2003; 78: 251-256
PURPOSE: To compare the pain rates, comfort levels and safety between conventional topical anesthesia and the application of a long lasting lidocaine soaked film or contact anesthesia. METHODS: Fifty patients undergoing conventional trabeculectomy with or without mitomycin C were included. Half received topical anesthesia and the other half contact anesthesia in a random fashion. Pain and discomfort rates before, during and after surgery were evaluated on a scale of from 0 to 5, and surgeon subjective stress and complications observed were included in the clinical protocol. RESULTS: Significant differences were found between both groups regarding pain rates, during and after surgery, and surgeon stress level. Sedation and change of anesthetic method were required more frequently by the patients included in the topical anesthesia group. CONCLUSIONS: Topical anesthesia provides sufficient level of anesthesia for performing trabeculectomy. Nevertheless, pain rate differences between contact and conventional topical anesthesia were patent during and after surgery. Contact anesthesia appears to be a valid and practical alternative in a wide range of patients undergoing glaucoma surgery. LA: Spanish
Dr. L.E. Pablo Julvez, Unidad de Glaucoma, Servicio de Oftalmologia, Hospital Universitario Miguel Servet, Zaragoza, Spain. luispablo@eresmas.com
Classification:
12.17 Anesthesia (Part of: 12 Surgical treatment)