Analgetic Effect of Two Solutions of Intracameral Anesthesia During Cataract Surgery in Patients

Conditions:   Cataract;   Analgesia;   Ophthalmological Disorder Interventions:   Drug: lignocaine;   Procedure: Phacoemulsyfication;   Procedure: Intraocular lens implantation;   Behavioral: Visual Analog Scale for Pain;   Behavioral: Brief Pain Inventory-short form;   Diagnostic Test: Best corrected visual acuity measurment;   Diagnostic Test: Slit-lam p biomicroscopy Sponsor:   Medical University of Lublin Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials

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Conditions:   Cataract;   Analgesia;   Ophthalmological Disorder Interventions:   Drug: lignocaine;   Procedure: Phacoemulsyfication;   Procedure: Intraocular lens implantation;   Behavioral: Visual Analog Scale for Pain;   Behavioral: Brief Pain Inventory-short form;   Diagnostic Test: Best corrected visual acuity measurment;   Diagnostic Test: Slit-lam p biomicroscopy Sponsor:   Medical University of Lublin Completed
Source: ClinicalTrials.gov - Category: Research Source Type: clinical trials
AbstractTropicamide 0.02%/phenylephrine 0.31%/lidocaine 1% injectable solution (Mydrane®) is the first fixed-dose mydriatic/anaesthetic combination approved for intracameral use in adults undergoing cataract surgery. In a phase 3 trial in this setting, intracameral tropicamide/phenylephrine/lidocaine was at least as effective as a standard topical regimen of tropicamide plus phenylephrine in enabling successful capsulorhexis without the use of additional mydriatics. The intracameral preparation, which is administered via a single injection, provides rapid and sustained mydriasis through to the end of surgery, with reci...
Source: Clinical Drug Investigation - Category: Drugs & Pharmacology Source Type: research
Authors: Shi C, Yuan J, Zee B Abstract Background: Phacoemulsification under local anesthesia is regarded as the major surgery for cataract treatment. Recent research has compared the pain perception between the first eye and the second eye during phacoemulsification. However, these studies have also yielded controversial findings. Consequently, we performed a systematic review and a meta-analysis to investigate the difference in the pain perception between the first and second eyes during phacoemulsification. Method: We searched the PubMed, EMBASE, and Cochrane CENTRAL databases for the studies published up to...
Source: Journal of Ophthalmology - Category: Opthalmology Tags: J Ophthalmol Source Type: research
ConclusionsDeep topical anesthesia with ropivacaine-soaked sponges performed as well as topical oxybuprocaine regarding safety and efficacy. It provided a lower patient pain score, favorable surgeon satisfaction, and long-lasting anesthesia.
Source: International Ophthalmology - Category: Opthalmology Source Type: research
Conclusion: There were no statistically significant difference between real-time ultrasound-guided and blind retrobulbar regional eye blocks concerning the onset of action, total volume of injected local anesthetic solution, supplemental injection required, pain scores, and degree of patient satisfaction. PMID: 30584353 [PubMed]
Source: Local and Regional Anesthesia - Category: Anesthesiology Tags: Local Reg Anesth Source Type: research
CONCLUSION: Morbidity associated with ophthalmic pediatric surgery is low and predominantly associated with strabismus surgery. The benefit-risk ratio and cost-effectiveness of oculocardiac reflex prevention should be questioned. Our postoperative nausea and vomiting rate is low, thanks to the use of a well-managed multimodal strategy. Early postoperative pain is usually well-treated but could probably be more effectively prevented. PMID: 30280604 [PubMed - as supplied by publisher]
Source: European Journal of Ophthalmology - Category: Opthalmology Authors: Tags: Eur J Ophthalmol Source Type: research
ConclusionsTrigeminal neuralgia is a rare cause of postoperative ophthalmic pain and is a challenging diagnosis for the ophthalmologist. It is necessary to consider the differential diagnosis of atypical pain after ophthalmic surgery.
Source: Journal of Medical Case Reports - Category: General Medicine Source Type: research
ABSTRACT Nature has always provided an unlimited source of biologically-active compounds. Since the beginning of mankind, humans have sought resources in fauna and flora to treat eye diseases. However, it was only after the Industrial Revolution that extracts of plants and substances of animal origin could be used safely, as has been determined by controlled interventional studies. Two major challenges faced by ocular pharmacology are the following: developing drugs that are able to reduce blindness due to glaucoma; and controlling the pain associated with eye surgery. The search for a drug that effectively lowers intraocu...
Source: Arquivos Brasileiros de Oftalmologia - Category: Opthalmology Source Type: research
Conclusions: Advanced subconjunctival anesthesia is a visually guided, minimally invasive technique, achieving satisfactory analgesia and akinesia for phacoemulsification surgery.
Source: Asia-Pacific Journal of Ophthalmology - Category: Opthalmology Tags: Original Clinical Study Source Type: research
Conclusion: Ropivacaine is a good alternative for deep topical anesthesia as it has a better safety margin and lesser toxic effect than other comparable local anesthetic agents.
Source: Indian Journal of Ophthalmology - Category: Opthalmology Authors: Source Type: research
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