COMPARISON OF EFFICACY OF TOPICAL VS PERIBULBAR ANESTHESIA IN PHACOEMULSIFICATION CATARACT SURGERY

JPUMHS;2023:13:04,6-11. http://doi.org/10.46536/jpumhs/2023/13.04.463

Abstract

Abstract

ABSTRACT Objective: The goal was to assess how well peribulbar anesthesia performed in phacoemulsification cataract surgery in comparison to topical anesthetic. Materials and Methods. This randomized controlled experiment was conducted at the Hayatabad Medical Complex in Peshawar's Ophthalmology department. The study was conducted in five months from 1st August 2019 to 1st January 2020. In total, 154 individuals were enrolled in the study, with acuities ranging from counting finger (CF) to 6/12 on the Snellen visual acuity chart and visually significant age-related cataract found on slit lamp binocular microscope examination. Preoperatively, Group A had topical Lidocaine 0.5% eye drops three to five times every five minutes, while Group B received an injection of Xylocaine 2% with adrenaline and injection of Bupivacaine 0.5% in the peri-bulbar region. Using the Visual Analogue Score of less than 2 during the Phacoemulsification procedure preoperatively, the efficacy of both medications was assessed. Results. In this study, participants ranged in age from 40 to 70 years. In group A, the mean age was 57.077 years, the mean number of months with symptoms was 5.766, and the mean pain score was 3.233. In group B, the mean age was 56.064 years, the mean number of months with symptoms was 6.077, and the mean pain score was 32.181. Efficacy was observed in group A at 22.6% versus group B at 54.5% (P=0.001).Conclusion: When utilized for cataract surgery, peribulbar anesthesia dramatically increased patient satisfaction compared to topical anaesthetic.