Titre du document / Document title

Topical plus subconjunctival anesthesia for phacotrabeculectomy : One year follow-up

Auteur(s) / Author(s)

VICARY D. ⁽¹⁾ ; MCLENNAN S. ⁽¹⁾ ; SUN X.-Y. ⁽¹⁾ ;

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

⁽¹⁾ Pacific Eye Center, Brisbane, Queensland, AUSTRALIE

Résumé / Abstract

Purpose: To evaluate the results of topical plus subconjunctival anesthesia for phacotrabeculectomy surgery and postoperative glaucoma control over 1 year. Setting: Pacific Eye Center, Brisbane, Australia. Methods: In this retrospective study of consecutive patients with glaucoma and cataract, topical plus subconjunctival anesthesia was used for combined phacoemulsification, posterior chamber intraocular lens implantation, and trabeculectomy (phacotrabeculectomy). Patients with proliferative diabetic retinopathy or neovascular glaucoma were excluded. Results : Thirty-eight eyes had phacotrabeculectomy using topical plus subconjunctival anesthesia over 2 years. Patients reported no discomfort intraoperatively or postoperatively, and none required intravenous sedation. Eighty-one percent of patients achieved a best corrected visual acuity of 20/40 or better 6 months after surgery. Mean drop in intraocular pressure (IOP) was 5.91 mm Hg at 3 months and 5.86 mm Hg at 12 months, at which time IOP was controlled without additional medication in 72% of patients. There were no serious complications postoperatively. Conclusion: In this series, no patient reported intraoperative or postoperative discomfort and surgical results were excellent in terms of visual outcome and IOP control.

Revue / Journal Title

Journal of cataract and refractive surgery   ISSN 0886-3350   CODEN JCSUEV 

Source / Source

1998, vol. 24, n^o9, pp. 1247-1251 (20 ref.)

Langue / Language

Anglais

Editeur / Publisher

Elsevier, New York, NY, ETATS-UNIS  (1986) (Revue)

Mots-clés anglais / English Keywords

Phacoemulsification ; Trabeculectomy ; Local anesthesia ; Subconjonctival ; Blocking ; Prognosis ; Visual acuity ; Postoperative ; Human ; Surgery ;

Mots-clés français / French Keywords

Phacoémulsification ; Trabéculectomie ; Anesthésie locale ; Sousconjonctival ; Blocage ; Pronostic ; Acuité visuelle ; Postopératoire ; Homme ; Chirurgie ;

Mots-clés espagnols / Spanish Keywords

Facoemulsificación ; Trabeculectomía ; Anestesia local ; Subconjunctival ; Bloqueo ; Pronóstico ; Acuidad visual ; Postoperatorio ; Hombre ; Cirugía ;

Localisation / Location

INIST-CNRS, Cote INIST : 20937, 35400007056949.0140