Posterior vitrectomy under topical anesthesia

dc.contributor.authorBahçecioğlu, Halil Ibrahim
dc.contributor.authorÜnal, Mustafa
dc.contributor.authorArtunay, Özgür
dc.contributor.authorRasier, Rifat
dc.contributor.authorSarıcı, Ahmet Murat
dc.date.accessioned2019-06-28T11:11:37Z
dc.date.available2019-06-28T11:11:37Z
dc.date.issued2007
dc.description.abstractBackground: To determine the safety and efficacy of topical anesthesia in posterior vitrectomy. Methods: A total of 93 patients (93 eyes) with various vitreoretinal diseases not needing scleral buckling and with short predicted duration of surgery underwent posterior vitrectomy under topical (49 eyes) or retrobulbar (44 eyes) anesthesia. Patients in the topical group were sedated with neuroleptic anesthesia. Postoperatively patients were shown a visual analogue pain scale (VAPS) from 0 (no pain) to 10 (unbearable pain) to rate the levels of pain. The main outcome measures were overall and worst intraoperative pain scores duration of surgery and pain score during the administration of the retrobulbar anesthetic agent. Results: Mean surgical time was 57.9 minutes in the topical group and 56.6 minutes in the retrobulbar group (p > 0.05). The pain scores were not significantly different. Mean overall pain scores were 1.71 (SD 1.04 range 0-5) in the topical group and 1.38 (SD 1.04 range 0-3) in the retrobulbar group (p > 0.05). Mean worst pain scores were 3.20 (SD 1.30 range 1-7) and 2.95 (SD 0.73 range 1-4) respectively (p > 0.05). There was no significant correlation between duration of surgery and overall pain score in either group (r = 0.146 p = 0.356 and r = 0.174 p = 0.385 respectively). No patient required additional injection anesthesia in the topical group. Interpretation: Topical anesthesia combined with systemic sedation and analgesia in posterior vitrectomy procedures provided sufficient analgesic effects in selected patients needing no scleral buckling and with short predicted surgery time.en_US]
dc.identifier.citation18
dc.identifier.doi10.3129/can.j.ophthalmol.i07-004en_US
dc.identifier.endpage277
dc.identifier.issn0008-4182en_US
dc.identifier.issn0008-4182
dc.identifier.issue2
dc.identifier.pmid17392852en_US
dc.identifier.scopus2-s2.0-34248177844en_US
dc.identifier.scopusqualityQ2
dc.identifier.startpage272en_US
dc.identifier.urihttps://hdl.handle.net/20.500.12469/1644
dc.identifier.urihttps://doi.org/10.3129/can.j.ophthalmol.i07-004
dc.identifier.volume42en_US
dc.identifier.wosWOS:000245794100013en_US
dc.identifier.wosqualityQ4
dc.institutionauthorBahçecioğlu, Halil Ibrahimen_US
dc.institutionauthorArtunay, Özgüren_US
dc.institutionauthorRasier, Rifaten_US
dc.language.isoenen_US
dc.publisherElsevieren_US
dc.relation.journalCanadian Journal of Ophthalmologyen_US
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanıen_US
dc.rightsinfo:eu-repo/semantics/openAccessen_US
dc.subjectPosterior vitrectomyen_US
dc.subjectTopical anesthesiaen_US
dc.titlePosterior vitrectomy under topical anesthesiaen_US
dc.typeArticleen_US
dspace.entity.typePublication

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