Delhi Journal of Ophthalmology

Topical Anaesthesia For Cataract Surgery: Patient’s And Surgeon’s Perspective

Parveen Rewri,1 Anjali Choudhary,1 Surya Mani Pandey,2 Aparna Singhal,1 Priyanka Chaudhary,1 Sanjeev Kumar3
1Department of Ophthalmology, Maharaja Agrasen Medical College, Agroha (Hisar) Haryana, India
2Department of Bio-statistics, Maharaja Agrasen Medical College, Agroha (Hisar) Haryana, India
3Department of Anaesthesia, Maharaja Agrasen Medical College, Agroha (Hisar) Haryana, India

Editor-in-Chief, Delhi Journal of Ophthalmology, Dr R.P.Centre, AIIMS.


Corresponding Author:

Parveen Rewri (MS)
Department of Ophthalmology
Maharaja Agrasen Medical College, Agroha (Hisar) Haryana, India
E-mail: drparveenrewri@gmail.com


Received: 13-MAR-2020 Accepted: 22-MAY-2020 Published Online: 12-MAR-2021
DOI: https://dx.doi.org/10.7869/djo.620

Abstract
Aim: The study aimed to find factors’ determining satisfactory experience from patient’s as well surgeon’s perspective in cataract surgery under topical anesthesia

Methods: In this prospective study, we recruited consecutive patients of senile cataract willing to undergo cataract surgery under topical anesthesia. Using a validated score system, patients comfort and cooperation was quantified. Demographic and ocular factors affecting the comfort level and cooperation were analyzed. 

Results: A total of 530 patients, with mean (±SD) age 61±9 (range 41-90), underwent cataract surgery under topical anesthesia between September and November 2019.Of all the participants, 429 (81%; 95% Confidence Interval (CI):77-84) were not aware about injection less topical anesthesia for cataract surgery. The average comfort and cooperation score were 4.56±0.67and 4.54±0.73, respectively. The average duration of surgery was 8.33±3.24 (range: 4-25) minutes.

Conclusion: The acceptance for topical anesthesia for cataract surgery is high, in both patient’s and surgeon’s perspective. Patient’s satisfaction and cooperation depends on several socio-demographic and psychological factors.

Keywords :Topical anesthesia, Cataract surgery, Determinants, Pain