当前位置： SCI文献检索 > JOURNAL OF CATARACT AND REFRACTIVE SURGERY期刊下所有文献 > Prospective evaluation of topical versus retrobulbar anesthesia: a converting surgeon's experience.

Prospective evaluation of topical versus retrobulbar anesthesia: a converting surgeon's experience.

Abstract：

PURPOSE:To evaluate and compare the efficacy of topical versus retrobulbar anesthesia for cataract surgery performed by a surgeon newly converting to the topical technique. SETTING:Department of Ophthalmology, Moran Eye Center, University of Utah, Salt Lake City, Utah, USA. METHODS:Ninety patients were prospectively assigned by permuted block restricted randomization to receive topical (Group 1; n = 45) or retrobulbar (Group 2; n = 45) anesthesia. Group 1 received topical bupivacaine 0.75% and intravenous midazolam and fentanyl for anesthesia. Group 2 received intravenous methohexital followed by retrobulbar block with an equal mixture of lidocaine 2% and bupivacaine 0.75% plus hyaluronidase 150 units. A visual pain analog scale was used to assess the degree of pain during anesthesia administration and surgery and postoperatively. The degree to which eye movement, touch, and light caused patient discomfort was assessed. Intraoperative conditions and complications were recorded. RESULTS:Intraoperative operating conditions were significantly better in Group 2 (P < .05). There was a small but statistically significant difference in the degree of discomfort during anesthesia administration and surgery (P < .05). There was no difference in postoperative discomfort. Chemosis, subconjunctival hemorrhage, and eyelid hemorrhage occurred only in Group 2, in which there was one retrobulbar hemorrhage. Although eyelid squeezing and ocular motility were present more frequently in Group 1, neither was a problem to the surgeon. CONCLUSION:Cataract surgery was safely performed by a surgeon converting to topical anesthesia. After a distinct learning curve, the procedure was performed with minimal patient discomfort. Surgical training and patient preparation are the key to safe use of topical anesthesia.

journal_name

J Cataract Refract Surg

journal_title

Journal of cataract and refractive surgery

authors

Patel BC,Clinch TE,Burns TA,Shomaker ST,Jessen R,Crandall AS

doi

10.1016/s0886-3350(98)80143-0

subject

Has Abstract

pub_date

1998-06-01 00:00:00

pages

853-60

issue

6

eissn

0886-3350

issn

1873-4502

pii

S0886-3350(98)80143-0

journal_volume

24

pub_type

临床试验,杂志文章,随机对照试验

相关文献

JOURNAL OF CATARACT AND REFRACTIVE SURGERY文献大全
  • Current methods for assessing technical skill in cataract surgery.

    abstract：:Surgery is a major source of errors in patient care. Preventing complications from surgical errors in the operating room is estimated to lead to reduction of up to 41,846 readmissions and save $620.3 million per year. It is now established that poor technical skill is associated with an increased risk of severe advers...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1097/j.jcrs.0000000000000322

    authors： Alnafisee N,Zafar S,Vedula SS,Sikder S

    更新日期：2020-07-13 00:00:00

  • Comparison of 2 monocular pupillometers and an autorefractor for measurement of the dark-adapted pupil diameter.

    abstract：PURPOSE:To compare the performance of the Marco Nidek ARK-530A autorefractor pupillometer function and the Keeler PupilScan II pupillometer (study pupillometer) against the clinical standard NeurOptics PLR-200 pupillometer (standard pupillometer) for measurement of the dark-adapted pupil diameter. SETTING:Department o...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2010.10.059

    authors： Brown SM,Bradley JC

    更新日期：2011-04-01 00:00:00

  • Effect of high vacuum and aspiration on phacoemulsification efficiency and chatter using a transversal ultrasound machine.

    abstract：PURPOSE:To examine the role of high vacuum and aspiration settings on efficiency using a transversal ultrasound (US) machine. SETTING:John A. Moran Eye Center Laboratory, University of Utah, Salt Lake City, Utah, USA. DESIGN:Experimental study. METHODS:Porcine lens nuclei were incubated in formalin for 2 hours and t...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2018.05.031

    authors： Kabbara S,Heczko JB,Bernhisel AA,Barlow WR,Zaugg B,Pettey JH,Olson RJ

    更新日期：2018-11-01 00:00:00

  • Oral pilocarpine for the treatment of keratoconjunctivitis sicca with central corneal irregularity.

    abstract：:A 31-year-old female physician with bilateral myopia had unilateral myopic laser in situ keratomileusis in the right eye. The patient was overcorrected with the initial treatment and had 2 subsequent hyperopic treatments, resulting in central corneal irregularity. During the course of treatment, the patient was diagno...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(03)00471-1

    authors： Bhamra J,Wong J,Gohill J

    更新日期：2003-11-01 00:00:00

  • Precision and accuracy of an artificial anterior chamber system in obtaining corneal lenticules for lamellar keratoplasty.

    abstract：PURPOSE:To determine the precision and accuracy of an artificial anterior chamber and a manual microkeratome in obtaining corneal lenticules for lamellar keratoplasty. SETTING:Department of Ophthalmology, Cornea, External Diseases and Refractive Surgery Service, University of California Irvine, Irvine, California, USA...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(01)00896-3

    authors： Behrens A,Dolorico AM,Kara DT,Novick LH,McDonnell PJ,Chao LC,Wellik SR,Chuck RS

    更新日期：2001-10-01 00:00:00

  • Early phototherapeutic keratectomy for basement membrane dystrophy after laser in situ keratomileusis.

    abstract：:Phototherapeutic keratectomy (PTK) was performed to treat preexisting silent epithelial basal membrane dystrophy 1 month after laser in situ keratomileusis in 2 patients (4 eyes). The symptoms resolved dramatically during the follow-up period, with the patients reporting an immediate subjective visual improvement. At ...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2008.11.004

    authors： Garcia-Gonzalez M,Teus MA

    更新日期：2009-02-01 00:00:00

  • Corneal endothelial cell changes 5 years after laser in situ keratomileusis: femtosecond laser versus mechanical microkeratome.

    abstract：PURPOSE:To compare corneal endothelial cell density (ECD) and morphology between flap creation with a femtosecond laser and flap creation with a mechanical microkeratome 5 years after laser in situ keratomileusis (LASIK). SETTING:Mayo Clinic, Rochester, Minnesota, USA. DESIGN:Prospective randomized masked paired-eye ...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章,随机对照试验

    doi：10.1016/j.jcrs.2012.07.034

    authors： Klingler KN,McLaren JW,Bourne WM,Patel SV

    更新日期：2012-12-01 00:00:00

  • Synthetic cataract teaching system for phacoemulsification.

    abstract：:This paper describes a surgical training system for teaching and practicing the necessary skills to perform phacoemulsification, endocapsular phacoemulsification, and small incision intraocular lens insertion techniques. The surgical system includes head, bilateral globes, removable corneas, and replaceable synthetic ...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(88)80100-7

    authors： Maloney WF,Hall D,Parkinson DB

    更新日期：1988-03-01 00:00:00

  • Secondary closure of posterior continuous curvilinear capsulorhexis.

    abstract：PURPOSE:To examine the hypothesis that removing the center of the posterior capsule would prevent posterior capsular opacification (PCO). SETTING:Department of Ophthalmology, University Hospital Antwerp, Belgium. METHODS:A posterior continuous curvilinear capsulorhexis (CCC) was done before intraocular lens (IOL) imp...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(96)80068-x

    authors： Tassignon MJ,De Groot V,Smets RM,Tawab B,Vervecken F

    更新日期：1996-11-01 00:00:00

  • Precision pulse capsulotomy: Initial clinical experience in simple and challenging cataract surgery cases.

    abstract：PURPOSE:To evaluate precision pulse capsulotomy (PPC) in simple and challenging cataract surgery cases. SETTING:Clínica Quesada, San Salvador, El Salvador. DESIGN:Prospective case series. METHODS:This single-center prospective study assessed cataract surgeries with anterior capsulotomy performed using a PPC device t...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2017.01.023

    authors： Waltz K,Thompson VM,Quesada G

    更新日期：2017-05-01 00:00:00

  • Transillumination defects following in-the-bag single-piece intraocular lens implantation and trabeculectomy with mini-shunt.

    abstract：:An 80-year-old woman of mixed ethnicity developed significant iris transillumination defects following phacoemulsification with in-the-bag implantation of a single-piece hydrophobic acrylic intraocular lens (IOL) and trabeculectomy with insertion of an Express mini-shunt. With the exception of modest anterior chamber ...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2012.10.014

    authors： Rosenthal KJ,Venkateswaran N

    更新日期：2013-01-01 00:00:00

  • Surgically induced astigmatism after superotemporal and superonasal clear corneal incisions in phacoemulsification.

    abstract：PURPOSE:To evaluate surgically induced corneal astigmatism after small superotemporal and superonasal clear corneal incision cataract surgery. SETTING:Department of Ophthalmology, School of Medicine, University of Afyon Kocatepe, Afyon, Turkey. METHODS:This prospective study comprised 56 eyes of 28 patients who had b...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2003.11.034

    authors： Ermiş SS,Inan UU,Oztürk F

    更新日期：2004-06-01 00:00:00

  • Anterior chamber depth with sulcus and capsular bag placed IOGEL lenses.

    abstract：:The anterior chamber depth was measured in 15 eyes with sulcus placed (Group 1) and 12 eyes with bag placed (Group 2) IOGEL PC-12 lenses, and in 11 eyes with bag placed IOGEL 1103 lenses (Group 3). The mean anterior chamber depth was 3.29 mm in Group 1, 4.17 mm in Group 2, and 4.16 mm in Group 3. The difference betwee...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(13)81017-6

    authors： Bucher PJ

    更新日期：1990-11-01 00:00:00

  • Extracapsular cataract extraction with posterior chamber lens implantation in primary angle-closure glaucoma.

    abstract：PURPOSE:To evaluate long-term intraocular pressure (IOP) control after extracapsular cataract extraction (ECCE) with posterior chamber intraocular lens (IOL) implantation in patients with primary angle-closure glaucoma. SETTING:Ophthalmology Department, Groote Schuur Hospital, Cape Town, South Africa. METHODS:This re...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(97)80255-6

    authors： Acton J,Salmon JF,Scholtz R

    更新日期：1997-07-01 00:00:00

  • Anterior capsule staining for capsulorhexis in cases of white cataract: comparative clinical study.

    abstract：PURPOSE:To compare the safety and efficacy of trypan blue 0.1%, gentian violet 0.001%, indocyanine green 0.5% (ICG), fluorescein 2%, and the patient's autologous blood for anterior capsule staining in cases of white cataract. SETTING:Rajendra Prasad Center for Ophthalmic Sciences, All India Institute of Medical Scienc...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/S0886-3350(03)00573-X

    authors： Dada VK,Sharma N,Sudan R,Sethi H,Dada T,Pangtey MS

    更新日期：2004-02-01 00:00:00

  • Correction of myopic astigmatism with a foldable iris-claw toric phakic intraocular lens: short-term follow-up.

    abstract：PURPOSE:To evaluate the efficacy, predictability, stability, and complications after implantation of a foldable iris-fixated toric phakic intraocular lens (pIOL) to correct myopic astigmatism. SETTING:University Eye Clinic, Paracelsus Medical University, Salzburg, Austria. DESIGN:Retrospective nonrandomized observati...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2011.11.027

    authors： Ruckhofer J,Seyeddain O,Dexl AK,Grabner G,Stoiber J

    更新日期：2012-04-01 00:00:00

  • Supracapsular glued intraocular lens in progressive subluxated cataracts: Technique to retain an intact vitreous face.

    abstract：:We describe a technique to prevent late intraocular lens (IOL) subluxation and dislocation that can be associated with progressive zonulopathy. Supracapsular glued IOL fixation is done to retain an intact anterior hyaloid face and avoid vitreous disturbance while providing stable long-term IOL fixation. Phacoemulsific...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2017.02.006

    authors： Jacob S,Narasimhan S,Agarwal A,Mazzotta C,Rechichi M,Agarwal A

    更新日期：2017-03-01 00:00:00

  • Diagnostic capacity of biomechanical indices from a dynamic bidirectional applanation device in pellucid marginal degeneration.

    abstract：PURPOSE:To evaluate the diagnostic capacity of the keratoconus match index (KMI) and keratoconus match probability (KMP) classification from a dynamic bidirectional applanation device (Ocular Response Analyzer) in eyes with pellucid marginal degeneration (PMD). SETTING:Department of Ophthalmology, University Clinics S...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2014.03.018

    authors： Labiris G,Giarmoukakis A,Sideroudi H,Song X,Kozobolis V,Seitz B,Gatzioufas Z

    更新日期：2014-06-01 00:00:00

  • Ptosis after laser in situ keratomileusis.

    abstract：:We present a patient who developed partial ptosis after laser in situ keratomileusis. ...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2003.12.028

    authors： Cheng AC,Young AL,Law RW,Lam DS

    更新日期：2004-07-01 00:00:00

  • Comparison of the unwanted optical images produced by 6 mm and 7 mm intraocular lenses.

    abstract：:Unwanted optical images are noticed by a surprisingly large number of patients following cataract extraction with implantation of posterior chamber intraocular lenses (IOLs). These images are caused by the positioning holes, lens edge, or laser ridge. We studied 550 eyes in which one of seven different IOLs was insert...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 临床试验,杂志文章,随机对照试验

    doi：10.1016/s0886-3350(89)80113-0

    authors： Friedberg HL,Kline OR Jr,Friedberg AH

    更新日期：1989-09-01 00:00:00

  • Visualizing vitreous using Kenalog suspension.

    abstract：:We developed and evaluated a method of visualizing vitreous gel in the anterior segment. In this study, 0.2 mL of injectable triamcinolone (Kenalog) 40 mg/mL was captured in a 5 microm filter and rinsed with 2 mL of balanced salt solution (BSS). It was then resuspended in 5 mL of BSS and recaptured to thoroughly remov...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 临床试验,杂志文章

    doi：10.1016/s0886-3350(03)00016-6

    authors： Burk SE,Da Mata AP,Snyder ME,Schneider S,Osher RH,Cionni RJ

    更新日期：2003-04-01 00:00:00

  • No-stitch, small incision cataract surgery with flexible intraocular lens implantation.

    abstract：:Small incision cataract surgery has several advantages over conventional surgery, including faster postoperative visual rehabilitation. We evaluated 100 consecutive cases of no-stitch, small incision surgery with a square sclerocorneal tunnel and a flexible intraocular lens. Permanent self-sealing of the wound seemed ...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(13)80234-9

    authors： Menapace R,Radax U,Amon M,Papapanos P

    更新日期：1994-09-01 00:00:00

  • Slitlamp needle revision of capsular block syndrome.

    abstract：:I describe a technique of slitlamp needle revision in eyes with capsular block syndrome (CBS) with distention of the capsular bag and forward displacement of the intraocular lens (IOL) in the capsular bag. After topical anesthesia and povidone-iodine are applied to the eye, a 30-gauge needle is introduced in a beveled...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2008.04.013

    authors： Mardelli PG

    更新日期：2008-07-01 00:00:00

  • Brazilian technique for prevention of the Argentinean flag sign in white cataract.

    abstract：:We describe a technique that prevents the Argentinean flag sign in white cataract. The technique is based on the intumescent cataract having 2 rather than 1 pressurized compartments within the crystalline lens, the anterior and the posterior. The pressure that pushes the nucleus upward, which is the movement responsib...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2012.07.002

    authors： Figueiredo CG,Figueiredo J,Figueiredo GB

    更新日期：2012-09-01 00:00:00

  • Six-month results of the multicenter phase I study of excimer laser myopic keratomileusis.

    abstract：:We report six-month results of the Summit Technology Myopic Keratomileusis Phase I multicenter study. Fifty-seven eyes of 57 patients had keratomileusis to correct high myopia. A microkeratome was used for the primary keratectomy and the excimer laser was used to ablate the stroma of the resected lenticle (cap) or the...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 临床试验,杂志文章,多中心研究

    doi：10.1016/s0886-3350(13)80648-7

    authors： Brint SF,Ostrick DM,Fisher C,Slade SG,Maloney RK,Epstein R,Stulting RD,Thompson KP

    更新日期：1994-11-01 00:00:00

  • Posterior capsule opacification after phacoemulsification in patients with diabetes mellitus.

    abstract：PURPOSE:To compare posterior capsule opacification (PCO) after phacoemulsification and implantation of heparin-surface-modified (HSM) poly(methyl methacrylate) (PMMA) intraocular lenses (IOLs) in the capsular bag in patients with diabetes mellitus with that in a control group. SETTING:St. Erik's Eye Hospital, Stockhol...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(99)80132-1

    authors： Zaczek A,Zetterström C

    更新日期：1999-02-01 00:00:00

  • Myopic keratomileusis: results with a follow-up over one year.

    abstract：:We report one-year follow-up results on 23 eyes in which we performed myopic keratomileusis. The mean refraction changed from -11.09 diopters (D) preoperatively to -3.66 D postoperatively. In all but two cases, keratometry was reduced one year postoperatively. The average corneal thickness decrease was 0.139 mm. In ni...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(87)80042-1

    authors： Dossi F,Bosio P

    更新日期：1987-07-01 00:00:00

  • Successful management of epithelial ingrowth after sequential intracameral 5-fluorouracil and Descemet-stripping automated endothelial keratoplasty.

    abstract：:To describe the successful treatment of epithelial ingrowth using combined surgical excision with intracameral adjuvant 5-fluorouracil (5-FU) followed by Descemet-stripping automated endothelial keratoplasty (DSAEK). A 71-year-old man presented with epithelial ingrowth after clear corneal phacoemulsification. He under...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2018.12.030

    authors： Koenig SB,Koenig LR,Connor TB,Simons KB

    更新日期：2019-05-01 00:00:00

  • Formula choice: Hoffer Q, Holladay 1, or SRK/T and refractive outcomes in 8108 eyes after cataract surgery with biometry by partial coherence interferometry.

    abstract：PURPOSE:To assess how intraocular lens (IOL) formula choice affects refractive outcomes after cataract surgery using IOLMaster biometry. SETTING:Department of Ophthalmology, Gloucestershire Hospitals NHS Foundation Trust, Cheltenham, United Kingdom. DESIGN:Database study. METHODS:Hypothetical prediction errors were ...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/j.jcrs.2010.07.032

    authors： Aristodemou P,Knox Cartwright NE,Sparrow JM,Johnston RL

    更新日期：2011-01-01 00:00:00

  • Three-dimensional representation and qualitative comparisons of the amount of tissue ablation to treat mixed and compound astigmatism.

    abstract：PURPOSE:To compare the shape and volume of the lenticules of corneal tissue ablated for the correction of spherical, cylindrical, and spherocylindrical refractive errors using Boolean operations of theoretical 3-dimensional (3-D) surfaces. SETTING:Department of Ophthalmology, Rothschild Foundation, Paris, France. MET...

    journal_title：Journal of cataract and refractive surgery

    pub_type： 杂志文章

    doi：10.1016/s0886-3350(02)01379-2

    authors： Gatinel D,Hoang-Xuan T,Azar DT

    更新日期：2002-11-01 00:00:00