COVID-19 Update - This is to inform you that the Government of India has announced a complete lockdown in India 22nd March 2020 to 3rd May 2020. As a result, our offices will now be closed till 3rd May 2020 and all our employees will be working from home. Office telephones will not be answered, and therefore you are requested to direct all your queries related to manuscript submission, review process, publication etc. at below mentioned details. editor@innovativepublication.com, rakesh.its@gmail.com, Mob. 8826373757, 8826859373, 9910947804


Print ISSN:-2395-1443

Online ISSN:-2395-1451

CODEN : IJCEKF

Current Issue

Year 2020

Volume: 6 , Issue: 1

Article Access statistics

Viewed: 575

Emailed: 0

PDF Downloaded: 199

Indian Journal of Clinical and Experimental Ophthalmology


Comparing the effectiveness and safety of sub-tenon’s anaesthesia and peribulbar anaesthesia in anterior segment surgery


Full Text PDF Share on Facebook Share on Twitter


Author Details : Sumeet Deshpande, Sunita S Deshpande, Rajashree Reddy, Vishwanath Reddy

Volume : 2, Issue : 3, Year : 2016

Article Page : 201-206


Suggest article by email


Abstract

Introduction: Proper anaesthetic management is an integral part of any successful eye surgery. Patient comfort during the operative procedure is the single most important factor. The search for surgical adjutants to achieve anaesthesia and akinesia has produced many advances, easing the ordeal of surgery for both the patient and the surgeon.
Methods: 500 patients undergoing anterior segment surgery after obtaining consent were included in the study. Out of which, 250 were administered peribulbar while 250 were given sub-Tenon‟s anaesthesia randomly. Pain during administration of anaesthesia, during surgery and 4 h after surgery was graded on a visual analogue pain scale and compared for both the techniques. Sub-conjuntival haemorrhage, chemosis, akinesia after administration of anaesthesia and positive pressure during surgery were also compared. Patients were followed up for 6 weeks postoperatively. 
Results: The sub-Tenon's anaesthesia procedure was painless for 25.2% of the patients; The peribulbar anaesthesia procedure was painless for 8.91% of the patients. The anaesthetic block was very efficient with both the techniques. Pain during anaesthetic administration was lower for sub-Tenon‟s anaesthesia (63, 25.2%). Chemosis, sub conjunctival haemorrhage was more common with sub-Tenon‟s anaesthesia. Akinesia was better with peribulbar anaesthesia.
Conclusion: The volume of anaesthetic injected is more with peribulbar anaesthesia when compared to sub-Tenon‟s anaesthesia. Pain during anaesthetic administration is lower with sub-Tenon‟s anaesthesia compared with the peribulbar technique. Chemosis and subconjunctival haemorrhage are more frequent with sub-Tenons anaesthesia.

Keywords
: Cataract, Complications, Pain, Peribulbar, Sub-tenon’s anaesthesia

How to cite : Deshpande S, Deshpande S S, Reddy R, Reddy V, Comparing the effectiveness and safety of sub-tenon’s anaesthesia and peribulbar anaesthesia in anterior segment surgery. Indian J Clin Exp Ophthalmol 2016;2(3):201-206

Copyright © 2016 by author(s) and Indian J Clin Exp Ophthalmol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)