25 gauge vitrectomy under topical anesthesia: a pilot study

Raju, Biju; Raju, N. S. D.; Raju, Anju S.
September 2006
Indian Journal of Ophthalmology;Sep2006, Vol. 54 Issue 3, p185
Academic Journal
journal article
Aims: To evaluate the safety and efficacy of transconjunctival 25 gauge vitrectomy under topical anesthesia.Settings and Design: A pilot study of consecutive cases which underwent 25 gauge vitrectomy under topical anesthesia.Materials and Methods: Seven eyes of 7 patients underwent 25 gauge vitrectomy under topical anesthesia with a pledget soaked in anesthetic, for vitreous hemorrhage (2 eyes), retained cortex (1 eye) and postoperative endophthalmitis (4 eyes). Subjective pain and discomfort were graded from 0 (no pain or discomfort) to 4 (severe pain and discomfort). Patients underwent an immediate postoperative assessment, followed by day one and one week postoperative evaluation.Results: All patients had grade 0 pain during the surgery. Five patients had grade 2 pain during the placement of the sclerotomies. None of the patients required any sedation during the procedure. No inadvertent eye movements were noted during surgery. Except one patient, none required postoperative analgesics. Five eyes had a favorable outcome. No eyes in this pilot study had any procedure-related complications.Conclusion: With appropriate case selection, topical anesthesia is a safe and effective alternative to infiltrative anesthesia for 25 gauge vitrectomy. A larger series of patients with a longer follow-up is required to validate the findings of this pilot study.


Related Articles

  • Conscious Sedation in Paediatric Dentistry. Sharma, Swati; Mahajan, Neeraj; Aggarwal, Rachit; Gupta, Vaibhav // JIDA: Journal of Indian Dental Association;Jan2016, Vol. 10 Issue 1, p10 

    Conscious sedation is a drug-induced depression of consciousness while the patient remains awake to respond to the verbal commands. Certain diagnostic and therapeutic procedures can be carried out under local anaesthesia with sedation and analgesia without any requirement for intervention of...

  • Impact of Type of Anesthesia on Efficacy of Medstone STS Lithotripter. Courtney Lee; Derek Weiland; Igor Ryndin; Roland Ugarte; Manoj Monga // Journal of Endourology;Sep2007, Vol. 21 Issue 9, p957 

    Purpose To evaluate the impact of the type of anesthesia on treatment efficacy, using a comparison of general anesthesia (GEN) and monitored anesthesia care with intravenous sedation (MAC), for patients undergoing extracorporeal shockwave lithotripsy (SWL) on the Medstone STS...

  • SEDATION DENTISTRY: Addressing Caregiver Concerns for Safety. Blende, David // Exceptional Parent;Feb2009, Vol. 39 Issue 2, p38 

    The article focuses on the concept of sedation in dentistry, which, most of the time, keeps a patient comfortable and safe in most of the hospitals. It is being noted that most of the patients, who are having special needs, fall into health categories, which dictates unconscious sedation as the...

  • Liposuction “Conscious Sedation” Monitored Anesthesia Care and Level of Consciousness Monitoring. Bisaccia, Emil; Scarborough, Dwight; Swensen, Richard // Aesthetic Plastic Surgery;Jan2005, Vol. 29 Issue 1, p61 

    The article focuses on liposuction "conscious sedation" monitored anesthesia care and level of consciousness monitoring. In practice, use of the bispectral index monitor did not change the total propofol dose significantly. Dosing it is very appropriate, and it has worked very well. As with any...

  • The effects of DEX premedication on volatile induction of mask anesthesia (VIMA) and sevoflurane requirements. Mizrak, Ayse; Ganidagli, Suleyman; Cengiz, Mehri; Oner, Unsal; Saricicek, Vahap // Journal of Clinical Monitoring & Computing;Jun2013, Vol. 27 Issue 3, p329 

    We investigated the effect of intravenous premedication with single dose of dexmedetomidine (DEX) on volatile anesthetic induction time and sevoflurane requirements of anesthesia maintenance in adults by monitoring the bispectral index (BIS). Sixty adult patients with status of ASA I-II...

  • Ketamine for Procedural Sedation and Analgesia by Nonanesthesiologists in the Field: A Review for Military Health Care Providers. Guldner, Gregory T.; Petinaux, Bruno; Clemens, Peter; Foster, Stanley; Antoine, Scott // Military Medicine;Jun2006, Vol. 171 Issue 6, p484 

    Military health care providers located in field environments frequently face situations in which procedural sedation and analgesia are necessary, without the advantage of sophisticated monitoring equipment. Ketamine is a unique agent that can be administered either intravenously or...

  • New screening technique for sacral nerve stimulation under local anaesthesia. Hetzer, F.; Hahnloser, D.; Knoblauch, Y.; Löhlein, F.; Demartines, N. // Techniques in Coloproctology;Apr2005, Vol. 9 Issue 1, p25 

    Background The purpose of this study was to assess the influence of the type of anaesthesia (local vs. general) and of the electrode used (test electrode vs. tined lead) on a successful screening period. Methods Between May 2001 and January 2004, we performed 25 percutaneous nerve evaluation...

  • 23 Gauge: The Further Evolution of Vitrectomy. Tewari, Asheesh; Shah, Gaurav K. // Review of Ophthalmology;Aug2006, Vol. 13 Issue 8, p76 

    The article discusses the principles and techniques of the 23 gauge transconjunctival sutureless vitrectomy in vitreoretinal surgery. Twenty-three gauge transconjunctival sutureless vitrectomy allows greater eye rotation and the ability to perform a more complete vitrectomy, by providing more...

  • Small-Gauge Vitrectomy: The Future Is Now. Roe, Richard H.; Fu, Arthur D. // Review of Ophthalmology;Jun2007 Part 1 of 2, Vol. 14 Issue 6, p86 

    The article focuses on the significance of small-gauge vitrectomy surgery, an endoscopy-based procedure, in the U.S. The procedure involves the use of sutureless infusion cannulas and larger incisions for instruments in retinal pathology. Robert Machemer, the inventor of the procedure, believed...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics