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  • Topical anaesthesia with oxybuprocaine versus sub-Tenon’s infiltration with 2% lignocaine for small incision cataract surgery

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Original Article
Topical anaesthesia with oxybuprocaine versus sub-Tenon’s infiltration with 2% lignocaine for small incision cataract surgery
  1. H B Chittenden,
  2. W R Meacock,
  3. J A A Govan
  1. Department of Ophthalmology, Frimley Park Hospital, Frimley, Surrey
  1. Major H B Chittenden RAMC, Department of Ophthalmology, Frimley Park Hospital, Portsmouth Road, Frimley, Surrey GU16 5UJ.

Abstract

AIMS To determine whether topical anaesthesia in small incision self-sealing phacoemulsification cataract surgery provides comparable anaesthesia to sub-Tenon’s infiltration.

METHODS Thirty five patients undergoing small incision self-sealing phacoemulsification cataract surgery were allocated randomly to receive topical anaesthesia with 0.4% oxybuprocaine or sub-Tenon’s infiltration with 2% lignocaine. Pain experienced during the operation was assessed by asking the patient to score on a visual analogue graphic pain score chart.

RESULTS The median pain score for the topical group (3) was significantly higher than that of the sub-Tenon’s group (0) (p = 0.004).

CONCLUSION Sub-Tenon’s infiltration is superior to topical anaesthesia in ensuring patient comfort during small incision scleral tunnel self-sealing phacoemulsification cataract surgery.

  • topical anaesthesia
  • sub-Tenon’s infiltration
  • small incision cataract surgery

https://doi.org/10.1136/bjo.81.4.288

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