Titre du document / Document title

Subconjunctival versus peribulbar anesthesia in trabeculectomy : A prospective, randomized study

Auteur(s) / Author(s)

AZUARA-BLANCO A. ⁽¹⁾ ; MOSTER M. R. ⁽¹⁾ ; MARR B. P. ⁽²⁾ ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)

⁽¹⁾ Glaucoma Service, Wills Eye Hospital, Jefferson Medical College, Philadelphia, PA, ETATS-UNIS
⁽²⁾ Temple University School of Medicine, Philadelphia, PA, ETATS-UNIS

Résumé / Abstract

. BACKGROUND AND OBJECTIVE: To compare the use of subconjunctival and peribulbar anesthesia for trabeculectomy. . PATIENTS AND METHODS: Sixty patients undergoing trabeculectomy were prospectively randomized to receive either peribulbar or subconjunctival anesthesia. Peribulbar anesthesia consisted of a 3-ml inferior and a 1-ml superior injection of a 1:1 mixture of 2% mepivacaine, 0.75% bupivacaine, and hyaluronidase. Subconjunctival anesthesia consisted of a 1- to 2-ml injection of the same mixture without hyaluronidase in the superotemporal quadrant. Intraoperative pain, presence of eye movements, and complications during surgery were evaluated. . RESULTS: The frequency and intensity of pain was statistically similar between the two groups. All episodes of pain (20% in the subconjunctival group and 6.6% in the peribulbar group) were rated as mild. Eye movement was more common in the subconjunctival group than in the peribulbar group, but it was controlled by verbal command and did not interfere with the procedure. No clinically significant complications occurred during surgery. . CONCLUSION: Subconjunctival anesthesia is an effective alternative to peribulbar anesthesia for trabeculectomy.

Revue / Journal Title

Ophthalmic surgery and lasers   ISSN 1082-3069   CODEN OSLAF2 

Source / Source

1997, vol. 28, n^o11, pp. 896-899 (15 ref.)

Langue / Language

Anglais

Editeur / Publisher

Slack, Thorofare, NJ, ETATS-UNIS  (1995-2000) (Revue)

Mots-clés anglais / English Keywords

Trabeculectomy ; Local anesthesia ; Route of administration ; Anesthetic ; Subconjonctival ; Bulb ; Comparative study ; Randomization ; Prospective ; Human ; Surgery ;

Mots-clés français / French Keywords

Trabéculectomie ; Anesthésie locale ; Voie administration ; Anesthésique ; Sousconjonctival ; Bulbe ; Etude comparative ; Randomisation ; Prospective ; Homme ; Chirurgie ;

Mots-clés espagnols / Spanish Keywords

Trabeculectomía ; Anestesia local ; Vía administración ; Anestésico ; Subconjunctival ; Bulbo ; Estudio comparativo ; Aleatorización ; Prospectiva ; Hombre ; Cirugía ;

Localisation / Location

INIST-CNRS, Cote INIST : 14946, 35400006952635.0020