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01-04-2017 | Original Paper

Comparison of pain experience during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia

Authors: Alper Mete, Oguzhan Saygılı, Sabit Kimyon, Can Pamukcu, Seda Çeri, Kıvanç Güngör, Mithat Temizer

Published in: International Ophthalmology | Issue 2/2017

Abstract

The objective of this study is to compare pain and discomfort scores of patients during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia without using sedation. A total of 157 patients with various vitreoretinal disorders were included in this study. Patients were randomly divided into two groups: topical (group 1, n = 76) and retrobulbar anesthesia (group 2, n = 81). Patients underwent 23-G vitreoretinal surgery without using sedation. All patients rated the level of experienced pain during the surgical procedure using a visual analogue pain scale. Pain and discomfort scores while performing anesthesia were significantly higher in group 2 than group 1 (p < 0.001). Patients in group 1 experienced more pain than group 2 during trocar insertion, endolaser photocoagulation, and scleral indentation steps of surgery (for all; p < 0.001). There was no significant difference in overall pain and discomfort scores and surgeon comfort scores between groups (p = 0.163, p = 0.097; respectively). None of the patients required additional anesthesia or sedation during or after the procedure. Topical anesthesia without using sedation is a safe and effective, alternative method for 23-G vitreoretinal surgeries in selected patients with various vitreoretinal pathologies.

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Title: Comparison of pain experience during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia
Authors: Alper Mete
Oguzhan Saygılı
Sabit Kimyon
Can Pamukcu
Seda Çeri
Kıvanç Güngör
Mithat Temizer
Publication date: 01-04-2017
Publisher: Springer Netherlands
Published in: International Ophthalmology / Issue 2/2017
Print ISSN: 0165-5701
Electronic ISSN: 1573-2630
DOI: https://doi.org/10.1007/s10792-016-0268-6

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Comparison of pain experience during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia

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