Research Journal of Medical Sciences
ISSN: Online 1993-6095ISSN: Print 1815-9346
Abstract
A The present study aims to evaluate patient level of comfort, pain perception, safety profile apart from surgeon’s experience and surgical outcome with the use of topical anaesthesia in patients undergoing manual small incision cataract surgery. This was a Prospective, Cross sectional, timebound study done during October 2022 to September 2023 at a tertiary care hospital. A total of 50 patients were included in the study for manual small incision cataract surgery(msics) under topical anaesthesia after conducting preoperative evaluation and investigations. A pain survey questionnaire having visual analog scale for pain evaluation or Wong scale for simplified version of pain evaluation was done. Surgeon’s experience of level of comfort was also documented. Right eye was involved in 35 eyes and left eye in 15 patients. Based on Nucleus density 28 patients had grade 2 and 22 patients had grade 3 nucleus. 2 cases were supplemented by subtenon’s anaesthesia as one of the patient was over anxious and another patient was not cooperating adequately. Mild pain was appreciated in 7 steps at different time of surgery among 18 patients. Moderate pain was seen in 12 steps among 2 patients. No pain was appreciated in 29 patients and overall patients were comfortable. Topical anaesthesia is a safer alternative to the peribulbar injection anaesthesia for manual small incision cataract surgery done by experienced surgeons in cooperative patients.
How to cite this article:
Praveen Kumar Sadanand, Praveen Deshpande, Ashwini S. Waghmare and B. Jaishree. Manual Small Incision Cataract Surgery Under Topical Anaesthesia: Pain Evaluation.
DOI: https://doi.org/10.36478/10.36478/makrjms.2024.5.699.703
URL: https://www.makhillpublications.co/view-article/1815-9346/10.36478/makrjms.2024.5.699.703