Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome
Inger Westborg,1,2 Eva Mönestam1 1Department of Clinical Sciences/Ophthalmology, Umeå University, Umeå, Sweden; 2Eye Clinic, Sunderby Hospital, Luleå, Sweden Purpose: To evaluate if the standard anesthetic regimen – topical combined with intracameral anesthesia without sedation – in a population-bas...
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ftdovepress:oai:dovepress.com/14700 2023-05-15T17:09:16+02:00 Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome Westborg,Inger Mönestam,Eva 2013-10-16 text/html https://www.dovepress.com/intracameral-anesthesia-for-cataract-surgery-a-population-based-study--peer-reviewed-fulltext-article-OPTH en eng Dove Press info:eu-repo/semantics/altIdentifier/doi/10.2147/OPTH.S51409 https://www.dovepress.com/intracameral-anesthesia-for-cataract-surgery-a-population-based-study--peer-reviewed-fulltext-article-OPTH info:eu-repo/semantics/openAccess Clinical Ophthalmology Original Research info:eu-repo/semantics/article 2013 ftdovepress https://doi.org/10.2147/OPTH.S51409 2022-12-27T21:39:08Z Inger Westborg,1,2 Eva Mönestam1 1Department of Clinical Sciences/Ophthalmology, Umeå University, Umeå, Sweden; 2Eye Clinic, Sunderby Hospital, Luleå, Sweden Purpose: To evaluate if the standard anesthetic regimen – topical combined with intracameral anesthesia without sedation – in a population-based cohort of unselected cataract surgery cases is adequate, optimal, and good practice, or if improvements are necessary. Methods: We conducted a prospective, observational study on all cases of cataract surgery during a 1-year period at one institution (n=1249). Data were collected from the patients’ records. Outcome measures were use of preoperative sedation, type of anesthesia, complications, and adverse events. In a subgroup of patients (n=124) satisfaction with the anesthetic regimen was evaluated using a short questionnaire. Results: Most cases (90%, 1125/1249) had combined topical and intracameral anesthesia without sedation. Patients who chose preoperative sedation (midazolam hydrochloride sublingually) were significantly younger and more often female (P=0.0001 and P=0.011, respectively). In the questionnaire subgroup, the median pain score after surgery was 0.7 (visual analog scale, 0–10). A pain score of 1.9 or less was reported by 76% of the patients. Patients reporting a pain score of 2 or more had sedation and additional anesthetics more often. No significant difference was found regarding age, sex, pulse rate, oxygen saturation, first or second eye surgery, or adverse intraoperative events for patients with pain scores of 1.9 or less and 2 or more. Conclusion: This large population-based series of small-incision phacoemulsification surgery shows that combined topical and intracameral anesthesia without sedatives is well tolerated for most phacoemulsification patients. It is also effective in cases when complications or adverse events occur. It is important to be responsive to the individual patient’s needs and adjust operating procedures if necessary, as there were a few patients who experienced ... Article in Journal/Newspaper Luleå Luleå Luleå Dove Medical Press Sunderby Hospital ENVELOPE(21.931,21.931,65.672,65.672) Clinical Ophthalmology 2063 |
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Clinical Ophthalmology Westborg,Inger Mönestam,Eva Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome |
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Clinical Ophthalmology |
description |
Inger Westborg,1,2 Eva Mönestam1 1Department of Clinical Sciences/Ophthalmology, Umeå University, Umeå, Sweden; 2Eye Clinic, Sunderby Hospital, Luleå, Sweden Purpose: To evaluate if the standard anesthetic regimen – topical combined with intracameral anesthesia without sedation – in a population-based cohort of unselected cataract surgery cases is adequate, optimal, and good practice, or if improvements are necessary. Methods: We conducted a prospective, observational study on all cases of cataract surgery during a 1-year period at one institution (n=1249). Data were collected from the patients’ records. Outcome measures were use of preoperative sedation, type of anesthesia, complications, and adverse events. In a subgroup of patients (n=124) satisfaction with the anesthetic regimen was evaluated using a short questionnaire. Results: Most cases (90%, 1125/1249) had combined topical and intracameral anesthesia without sedation. Patients who chose preoperative sedation (midazolam hydrochloride sublingually) were significantly younger and more often female (P=0.0001 and P=0.011, respectively). In the questionnaire subgroup, the median pain score after surgery was 0.7 (visual analog scale, 0–10). A pain score of 1.9 or less was reported by 76% of the patients. Patients reporting a pain score of 2 or more had sedation and additional anesthetics more often. No significant difference was found regarding age, sex, pulse rate, oxygen saturation, first or second eye surgery, or adverse intraoperative events for patients with pain scores of 1.9 or less and 2 or more. Conclusion: This large population-based series of small-incision phacoemulsification surgery shows that combined topical and intracameral anesthesia without sedatives is well tolerated for most phacoemulsification patients. It is also effective in cases when complications or adverse events occur. It is important to be responsive to the individual patient’s needs and adjust operating procedures if necessary, as there were a few patients who experienced ... |
format |
Article in Journal/Newspaper |
author |
Westborg,Inger Mönestam,Eva |
author_facet |
Westborg,Inger Mönestam,Eva |
author_sort |
Westborg,Inger |
title |
Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome |
title_short |
Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome |
title_full |
Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome |
title_fullStr |
Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome |
title_full_unstemmed |
Intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome |
title_sort |
intracameral anesthesia for cataract surgery: a population-based study on patient satisfaction and outcome |
publisher |
Dove Press |
publishDate |
2013 |
url |
https://www.dovepress.com/intracameral-anesthesia-for-cataract-surgery-a-population-based-study--peer-reviewed-fulltext-article-OPTH |
long_lat |
ENVELOPE(21.931,21.931,65.672,65.672) |
geographic |
Sunderby Hospital |
geographic_facet |
Sunderby Hospital |
genre |
Luleå Luleå Luleå |
genre_facet |
Luleå Luleå Luleå |
op_relation |
info:eu-repo/semantics/altIdentifier/doi/10.2147/OPTH.S51409 https://www.dovepress.com/intracameral-anesthesia-for-cataract-surgery-a-population-based-study--peer-reviewed-fulltext-article-OPTH |
op_rights |
info:eu-repo/semantics/openAccess |
op_doi |
https://doi.org/10.2147/OPTH.S51409 |
container_title |
Clinical Ophthalmology |
container_start_page |
2063 |
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1766065283292725248 |