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Year : 2015  |  Volume : 3  |  Issue : 1  |  Page : 68-70

Comparison of sub tenon’s v/s peribulbar anesthesia in manual small incision cataract surgery cases

1 Retired Assistant Professor of Ophthalmology, Sarojini Devi Eye Hospital, Hyderabad, India
2 Assistant Professor of Ophthalmology, Sarojini Devi Eye Hospital, Hyderabad, India
3 Post graduate of Ophthalmology, Sarojini Devi Eye Hospital, Hyderabad, India

Correspondence Address:
Samuel Christopher Matcha
Flat No.11-5-293/303, Red Hills, Hyderabad-500004
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/2321-7006.301964

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100 patients of senile cataract presenting to Sarojini Devi Eye Hospital, Hyderabad were included in the study. A Prospective, comparative study was carried out in which 50 patients were operated under Subtenon’s anesthesia (group 1 ) and 50 patients under Peribulbar anaesthesia (group 2). The efficacy, akinesia, lid movements and complications like Chemosis and subconjuctival hemorrhage were compared between the two groups. The percentage of patients with grade 0 pain in subtenon’s anesthesia group was 70% as compared to 30% in peribulbar group. Grade-4 pain in subtenon’s group was 0% compared to 4% in peribulbar group. Grade 0 akinesia was 0% in subtenon’s group compared to 62% in peribulbar group. Grade 0 lid movements are experienced by 70% in subtenon’s group and 88% in peribulbar group. Grade 0 Chemosis was 61 % in subtenon’s group and 64 % in peribulbar group. 44% of subtenon’s and 64% of peribulbar group had grade 0 subconjuctival hemorrhage. Intraoperative pain was dramatically lower in subtenon’s group of patients with very few patients experiencing unacceptable level of pain. Peribulbar anesthesia had an upper hand in terms intra-operative akinesia when compared to subtenon’s anesthesia. Intra-operative lid movements were slightly more in subtenon’s group. Incidence of Chemosis and subconjuctival hemorrhage was comparable in both the groups.

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