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- Title
A comparison of sub-Tenon’s with peribulbar anaesthesia in patients undergoing sequential bilateral cataract surgery.
- Authors
Budd, M.; Brown, J. P. R.; Thomas, J.; Hardwick, M.; McDonald, P.; Barber, K.
- Abstract
The aim of this study was to compare efficacy and particularly patient preference of sub-Tenon’s anaesthesia with peribulbar anaesthesia in patients undergoing sequential, bilateral, cataract surgery. Fifty patients were randomised to either sub-Tenon’s or peribulbar anaesthesia for their first operation and the alternative technique for their subsequent operation. Intra-ocular pressure was measured, globe and lid akinesia were scored, patients completed a visual rating score of injection and operative pain and their preference for anaesthesia was assessed. Intra-ocular pressure rose significantly following peribulbar injection (p = 0.02) but was comparable at 5 min. There was no significant difference in lid or globe movement. Injection and operative pain scores were low and comparable. Both methods provided similar anaesthesia and akinesia. The majority (86%) chose the method they received first irrespective of whether it was sub-Tenon’s or peribulbar, but 10% of patients preferred sub-Tenon’s, disliking the facial numbness from peribulbar anaesthesia.
- Subjects
ANESTHESIA; CATARACT surgery; ANESTHESIOLOGY; PAIN; PATIENTS
- Publication
Anaesthesia, 2009, Vol 64, Issue 1, p19
- ISSN
0003-2409
- Publication type
Article
- DOI
10.1111/j.1365-2044.2008.05659.x