Comparision of Ocular pain Between Topical and Retrobulbar Anesthesia for Cataract Surgery.

Yoon, Kyung Chul; Cho, Chul Wong; Seo, Man Seong; Yang, Kun Jin

Original Article

Journal of the Korean Ophthalmological Society 1996;37(12):2041-2047.
Published online December 1, 1996.

Comparision of Ocular pain Between Topical and Retrobulbar Anesthesia for Cataract Surgery.

Kyung Chul Yoon, Chul Wong Cho, Man Seong Seo, Kun Jin Yang

Department of Ophthalmology, Chonnam University Medical School, Kwang Ju, Korea.

백내장수술시 점안마취와 구후마취의 통증에 관한 연구

윤경철(Kyung Chul Yoon),조철웅(Chul Wong Cho),서만성(Man Seong Seo),양건진(Kun Jin Yang)

Abstract

We analysed a perceiving pain at each step (8 step: traction suture, wound incision, anterior capsulotomy, phacoemulsification, irrigation and aspiration, intraocular lens (IOL) implantation, wound suture, subtenon's injection) of cataract surgery by using visual analogue scale (0-10), prospectively. One hundred cases of cataract surgery were performed from November 1995 to March 1996 at Chonnam national university hospital and topical or retrobulbar anesthesia prior to cataract surgery was applied to each 50 patients. There was no difference of age, sex, running time for surgery, and incision method between topical and retrobulbar anesthesia. Pain scores at phacoemulsi fication. irrigation and aspiration, and subtenon's injection were higher than those at other steps in both types of anesthesia. However, a major range of pain scores at each step except of subtenon's injection was mild (1-3). In topical anesthesia, pain score was higher than retrobulbar anesthesia, but there was no statistically significant difference except a step of subtenon's injection. In conclusion, topical anesthesia might be an adequate anesthetic method for cataract surgery.

Key Words: Topical anesthesia;Retrobulbar anesthesia;Pain in cataract surgery