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Clinical science
Trends and complications of local anaesthesia in cataract surgery: an 8-year analysis of 12 992 patients
  1. Thanigasalam Thevi1,
  2. Myron Anthony Godinho2
  1. 1Department of Ophthalmology, Hospital Melaka, Jalan Mufti Haji Khalil, Melaka, Malaysia
  2. 2Public Health Evidence South Asia (PHESA), Manipal University, Manipal, Karnataka, India
  1. Correspondence to Thanigasalam Thevi, Department of Ophthalmology, Hospital Melaka, Jalan Mufti Haji Khalil, Melaka 75400, Malaysia; 111thevi{at}gmail.com

Abstract

Background Cataract surgery has progressed from large incision to smaller incisions, which do not require sutures. Anaesthesia too has progressed from general anaesthesia to local anaesthesia to topical anaesthesia. The ideal anaesthesia for cataract surgery would be one that is easy to administer, provides adequate pain relief during surgery and is associated with fewer complications.

Aims This study was done to find out the most suitable anaesthesia for patients with fewer complications and also to look at the trend of anaesthesia being used.

Methods A retrospective analysis was done of patients who underwent cataract surgery from 2007 to 2014 in Hospital Melaka. Data were obtained from the National Eye Database and analysed using SPSS. Trend of types of anaesthesia used and the associated complications with each were studied.

Results The most frequently used anaesthesia was topical anaesthesia, which showed an upward trend followed by subtenon in turn showing a downward trend. Subtenon anaesthesia was associated with more intraoperative and postoperative complications while topical anaesthesia was associated with fewer complications.

Conclusions Topical anaesthesia has shown a steady increase in usage and is the ideal anaesthesia, which has been associated with fewer complications.

  • Anterior chamber
  • Lens and zonules
  • Treatment Surgery

https://doi.org/10.1136/bjophthalmol-2015-307785

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    Footnotes

    • Contributors TT conceived the idea of the study and was responsible for its design. TT was responsible for acquiring the data, writing the discussion and references, and provided ongoing critical review on the draft article. MAG was responsible for conducting a brief literature review and writing the introduction ad methodology. MAG also performed the data processing and analysis and reporting the results in tables and figures, as well as performing critical review on the draft. Both authors helped plan the study, evolve analysis plans, interpret data and critically revise successive drafts of the manuscript.

    • Competing interests None declared.

    • Ethics approval The Malaysian Research Ethics Committee.

    • Provenance and peer review Not commissioned; externally peer reviewed.

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