Posterior vitrectomy under topical anesthesia

dc.contributor.author Bahçecioğlu, Halil Ibrahim
dc.contributor.author Ünal, Mustafa
dc.contributor.author Artunay, Özgür
dc.contributor.author Rasier, Rifat
dc.contributor.author Sarıcı, Ahmet Murat
dc.date.accessioned 2019-06-28T11:11:37Z
dc.date.available 2019-06-28T11:11:37Z
dc.date.issued 2007
dc.description.abstract Background: To determine the safety and efficacy of topical anesthesia in posterior vitrectomy. Methods: A total of 93 patients (93 eyes) with various vitreoretinal diseases not needing scleral buckling and with short predicted duration of surgery underwent posterior vitrectomy under topical (49 eyes) or retrobulbar (44 eyes) anesthesia. Patients in the topical group were sedated with neuroleptic anesthesia. Postoperatively patients were shown a visual analogue pain scale (VAPS) from 0 (no pain) to 10 (unbearable pain) to rate the levels of pain. The main outcome measures were overall and worst intraoperative pain scores duration of surgery and pain score during the administration of the retrobulbar anesthetic agent. Results: Mean surgical time was 57.9 minutes in the topical group and 56.6 minutes in the retrobulbar group (p > 0.05). The pain scores were not significantly different. Mean overall pain scores were 1.71 (SD 1.04 range 0-5) in the topical group and 1.38 (SD 1.04 range 0-3) in the retrobulbar group (p > 0.05). Mean worst pain scores were 3.20 (SD 1.30 range 1-7) and 2.95 (SD 0.73 range 1-4) respectively (p > 0.05). There was no significant correlation between duration of surgery and overall pain score in either group (r = 0.146 p = 0.356 and r = 0.174 p = 0.385 respectively). No patient required additional injection anesthesia in the topical group. Interpretation: Topical anesthesia combined with systemic sedation and analgesia in posterior vitrectomy procedures provided sufficient analgesic effects in selected patients needing no scleral buckling and with short predicted surgery time. en_US]
dc.identifier.citationcount 18
dc.identifier.doi 10.3129/can.j.ophthalmol.i07-004 en_US
dc.identifier.endpage 277
dc.identifier.issn 0008-4182 en_US
dc.identifier.issn 0008-4182
dc.identifier.issue 2
dc.identifier.pmid 17392852 en_US
dc.identifier.scopus 2-s2.0-34248177844 en_US
dc.identifier.scopusquality Q2
dc.identifier.startpage 272 en_US
dc.identifier.uri https://hdl.handle.net/20.500.12469/1644
dc.identifier.uri https://doi.org/10.3129/can.j.ophthalmol.i07-004
dc.identifier.volume 42 en_US
dc.identifier.wos WOS:000245794100013 en_US
dc.identifier.wosquality Q4
dc.institutionauthor Bahçecioğlu, Halil Ibrahim en_US
dc.institutionauthor Artunay, Özgür en_US
dc.institutionauthor Rasier, Rifat en_US
dc.language.iso en en_US
dc.publisher Elsevier en_US
dc.relation.journal Canadian Journal of Ophthalmology en_US
dc.relation.publicationcategory Makale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı en_US
dc.rights info:eu-repo/semantics/openAccess en_US
dc.scopus.citedbyCount 25
dc.subject Posterior vitrectomy en_US
dc.subject Topical anesthesia en_US
dc.title Posterior vitrectomy under topical anesthesia en_US
dc.type Article en_US
dc.wos.citedbyCount 20
dspace.entity.type Publication

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