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Anesthetic dose and analgesic effects of sub-Tenon's anesthesia in cataract surgery.

Abstract：

PURPOSE:To compare the analgesic effects of different doses of sub-Tenon's anesthesia in cataract surgery by assessing patient response to visceral stimulus. SETTING:Inouye Eye Hospital, Tokyo, Japan. METHODS:A prospective study was done of 1019 eyes of 1019 patients having phacoemulsification and posterior chamber intraocular lens implantation. They received a 1.0 mL (391 eyes), 2.0 mL (366 eyes), or 3.0 mL (262 eyes) anesthetic infiltration into the sub-Tenon's space. Pain scores were recorded when the anterior chamber was irrigated with an acetylcholine chloride solution to attain miosis after lens implantation. RESULTS:The distribution of pain scores was significantly different among the 3 groups (P < .0001, Kruskal-Wallis test). Multiple comparison revealed that the 3.0 mL anesthetic infiltration offered significantly higher analgesic effects than the 2 lower doses. The 3.0 mL sub-Tenon's anesthesia effectively blocked the visceral stimulus. CONCLUSION:For cataract surgery, 3 mL is the optimal dose of anesthetic solution in sub-Tenon's anesthesia.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Tokuda Y,Oshika T,Amano S,Yoshitomi F,Inouye J

doi

10.1016/s0886-3350(99)00149-2

subject

Has Abstract

pub_date

1999-09-01 00:00:00

pages

1250-3

issue

9

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(99)00149-2

journal_volume

25

pub_type

杂志文章

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