• Indexing List

IP International Journal of Ocular Oncology and Oculoplasty

Topical anaesthesia(vocal-focal) for small incision cataract surgery

Full Text PDF Share on Facebook Share on Twitter

Author Details: Ram Lal Sharma, Kalpana Sharma

Volume : 3

Issue : 3

Online ISSN : 2581-5016

Print ISSN : 2581-5024

Article First Page : 226

Article End Page : 229


There has been a significant evolution in surgical technique of cataract extraction in last few decades. Likewise evolution of the anaesthesia has varied from general anaesthesia to regional blocks and now topical anaesthesia (TA). With the advent of phacoemulsification, cataract surgeries using TA has become a reality and routine. The advantages are many, for the patients as well as for the surgeon. Topical anaesthesia saves the patients from the risks of globe perforations, optic nerve injury, and life threatening respiratory arrest and above all, the pain and fear perceived because of the peribulbar or retrobulbar injections. If TA for phacoemulsification is safe in experienced hands, it should be safe for small incision cataract surgery (SICS). Although, it might require certain modifications in SICS like no superior rectus stitch, conjunctival flap or cautery. Therefore TA can be an effective option for modified SICS in suitable patients.

Topical anaesthesia, Small incision cataract surgery