MANUAL SMALL INCISION CATARACT SURGERY UNDER TOPICAL ANESTHESIA ALONE, IN PATIENTS WITH CARDIAC DISEASE
Journal Title: Journal of Evidence Based Medicine and Healthcare - Year 2015, Vol 2, Issue 13
Abstract
AIM: To evaluate the outcome of manual small incision cataract surgery (MSICS) under topical anesthesia alone in patients at risk for local invasive anesthesia due to cardiac disease. MATERIALS AND METHODS: A retrospective analysis of all patients with underlying cardiac disease and operated for cataract under topical proparacaine, was done. Data was analyzed for demographic variants, operative experience, intra- and postoperative complications, need of conversion to peribulbar block, visual outcome and effect of surgery on cardiac disease. RESULTS: A total of 78 eyes of 60 patients with existing cardiac disease underwent manual small incision cataract surgery under topical anesthesia were analyzed. All patients underwent surgery without any major surgery related complications. No patient had complications related to IHD both intra- and early postoperative period. CONCLUSION: MSICS under topical anesthesia with proparacaine is safe and effective for high risk patients with coexisting cardiac disease without any compromise in visual outcome.
Authors and Affiliations
Suresh H. H, Sneha Solse, Supriya Patil, Jyothi Patil
Keywords
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- EP ID EP226790
- DOI 10.18410/jebmh/2015/286
- Views 77
- Downloads 0
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