Aim: To compare the efficacy of peribulbar with topical anaesthesia using Lignocaine 2% drops and jelly in manual small incision cataract surgery by quantitatively assessing both, the pain scores of the patient and the surgeon’s satisfaction. Materials and Methods: This was a randomized comparative study. The first 150 eyes of 148 patients were chosen. They were operated by two experienced surg...

AIM To compare pulsatile ocular blood flow (POBF) and intraocular pressure (IOP) between eyes of patients receiving either peribulbar (with and without balloon compression) or subconjunctival local anaesthesia (LA). METHODS 30 eyes of 30 patients undergoing cataract surgery by phacoemulsification were investigated in a study of parallel group design. Ten patients had peribulbar LA and 10 minu...

PURPOSE To evaluate patient-reported pain induced by phacoemulsification without sedation using topical or peribulbar anesthesia. SETTING Department of Ophthalmology, School of Medicine of Ribeirão Preto, São Paulo, Brazil. METHODS This study assessed patient-perceived pain during phacoemulsification cataract surgery with peribulbar anesthesia (lidocaine 2%-bupivacaine 0.5% mixture) or with...

A patient with marked exophthalmos secondary to thyroid eye disease presented for tarsorrhaphy and removal of orbital fat. A single superolateral peribulbar injection was performed. After injection of 3.5 ml of local anaesthetic solution, the globe suddenly dislocated anteriorly. This complication has not been described previously. In patients with exophthalmos, general anaesthesia should be co...

BACKGROUND We evaluated the efficacy of a single-injection technique for percutaneous peribulbar anesthesia with a short needle as an alternative to the double-injection technique for cataract extraction. METHODS We included 200 patients who underwent elective cataract surgery randomized into 2 equal groups. They received either single-injection peribulbar anesthesia with a 16-mm needle or do...