Journal of cataract and refractive surgery
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J Cataract Refract Surg · Nov 2002
Randomized Controlled Trial Comparative Study Clinical TrialNausea and vomiting after phacoemulsification using topical or retrobulbar anesthesia.
To determine and compare the incidence of postoperative nausea and vomiting in patients having phacoemulsification under topical or retrobulbar anesthesia. ⋯ Topical and retrobulbar anesthesia were associated with a low incidence of PONV in routine phacoemulsification. There were no statistically significant differences in PONV between the 2 anesthesia techniques. No significant correlation was found between the incidence of PONV and the duration of surgery, presence of complications, fasting time, postoperative IOP, or history of PONV or motion sickness.
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J Cataract Refract Surg · Aug 2002
Randomized Controlled Trial Clinical TrialEffect of hyaluronidase on ocular motility in sub-Tenon's anesthesia: randomized controlled trial.
To assess the effect of hyaluronidase additive on the onset and degree of ocular akinesia in sub-Tenon's anesthesia for cataract surgery. ⋯ The addition of hyaluronidase in sub-Tenon's anesthesia significantly improved the rapidity of the onset of akinesia. This benefit disappeared over time; after 5 minutes the akinesia observed in the group receiving hyaluronidase was similar to that in the group receiving lignocaine alone. Thus, there appears to be no benefit to adding hyaluronidase to the anesthetic solution in terms of final ocular akinesia.
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J Cataract Refract Surg · Jun 2002
Randomized Controlled Trial Comparative Study Clinical TrialLidocaine versus ropivacaine for topical anesthesia in cataract surgery(1).
To assess the anesthetic efficacy and safety of topical ropivacaine versus topical lidocaine in cataract surgery. ⋯ Topical ropivacaine performed at least as well as topical lidocaine in efficacy and safety in cataract surgery. It provided sufficient and long-lasting analgesia without the need for supplemental intracameral anesthesia in most cases.
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J Cataract Refract Surg · Jun 2002
Randomized Controlled Trial Comparative Study Clinical TrialRopivacaine-lidocaine versus bupivacaine-lidocaine for retrobulbar anesthesia in cataract surgery.
To compare the efficacy of ropivacaine mixed with lidocaine and bupivacaine mixed with lidocaine for retrobulbar anesthesia in cataract surgery. ⋯ Ropivacaine mixed with lidocaine and bupivacaine mixed with lidocaine were equally effective in producing ocular analgesia and akinesia for ECCE.
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J Cataract Refract Surg · Dec 2001
Randomized Controlled Trial Comparative Study Clinical TrialRole of the bandage soft contact lens in the postoperative laser in situ keratomileusis patient.
To determine whether a bandage soft contact lens (BSCL) is routinely needed in the postoperative laser in situ keratomileusis (LASIK) patient and whether topical tetracaine 0.5% or diclofenac sodium 0.1% (Voltaren) is more effective in relieving patient discomfort than a BSCL. ⋯ The routine use of a BSCL in the postoperative LASIK patient is not necessary. Voltaren and tetracaine 0.5% were safe and more effective in relieving postoperative patient discomfort and resulted in improved visual acuity immediately postoperatively.