Retrobulber anesthesia in phacoemulsification surgery

Key Findings & Data:Material and Methods: In this retrospective study, we analyzed 418 patients who underwent phacoemulsification surgery under rerobulbar anesthesia in Sakarya Yenikent State Hospital between June 2007 and September 2009.

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Conclusion & Impact:Using sharp injector needle increases complication rates during retrobulbar anesthesia.

🔬Design:Research Article

📍Scope:2007 Verileri

⚙️Variables:Ameliyat sonrası komplikasyonlar · Lens implantasyonu · göz içi

Abstract

Purpose: To report our results of retrobulbar anesthesia in phacoemulsification surgery. Material and Methods: In this retrospective study, we analyzed 418 patients who underwent phacoemulsification surgery under rerobulbar anesthesia in Sakarya Yenikent State Hospital between June 2007 and September 2009. We evaluated anesthesia complications and surgical outcomes. Results: During retrobulbar anesthesia, we used sharp injector needle in 188 cases, and Atkinson retrobulber needle in 230 cases. In sharp injector needle used group, 1(0.53%) perforation and 2 (1.06%) retrobulber hematoma occured. Capsulorhexis tear that necessitated conversion to extracapsular cataract extraction occurred in 4 (0.96%) cases. Posterior capsule rupture occured in 6 (1.44%) cases and intraocular lens (IOL) could not be implanted in 1 (0.23%) cases. Discussion: Retrobulbar anesthesia decreases eye movements and pain, give confortable operating conditions for the surgeon and the patients however carries serious complication risks that may lead to vision loss. Using sharp injector needle increases complication rates during retrobulbar anesthesia.

Özet

Amaç: Fakoemülsifikasyon cerrahisinde retrobulber anestezi uygulaması sonuçlarımızı sunmak. Gereç ve Yöntemler: Sakarya Yenikent Devlet Hastanesi'nde Haziran 2007- Eylül 2009 tarihleri arasında retrobulber anestezi ile fakoemülsifikasyon cerrahisi uyguladığımız 418 olgu geriye dönük olarak incelendi. Anestezi nedeni ile karşılaşılan komplikasyonlar ve cerrahi sonuçlar değerlendirildi. Bulgular: Retrobulber anestezi uygulaması sırasında 188 olguda keskin uçlu enjektör iğnesi, 230 olguda Atkinson retrobulber iğne kullanılmıştı. Enjektör iğnesi kullanılan gruptan 1 (%0.53) olguda göz küresi perforasyonu, 2 (%1.06) olguda retrobulber hematom gelişti. Cerrahi sırasında 4 (%0.96) olguda ön kapsüloreksis sırasında kapsülün perifere kaçması nedeni ile ekstrakapsüler katarakt ekstraksiyonu (EKKE) cerrahisine dönüldü. Altı (%1.44) olguda arka kapsül perforasyonu görüldü ve 1 (%0.23) olguda göz içi lensi (GİL) takılamadı. Tartışma: Retrobulber anestezi, cerrahi sırasında göz hareketlerini ve ağrıyı azaltarak hastaya ve cerraha konfor sağlamakta ancak görme kaybına yol açabilecek ciddi komplikasyon riski taşımaktadır. Enjeksiyon sırasında keskin uçlu enjektör iğnesi kullanımı komplikasyon sıklığını arttırmaktadır.

Keywords

Ameliyat sonrası komplikasyonlar Lens implantasyonu göz içi Fakoemülsifikasyon Anestezi Katarakt çıkartılması İntraoperatif komplikasyonlar Postoperative Complications Lens Implantation Intraocular Phacoemulsification Anesthesia Cataract Extraction Intraoperative Complications

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Cite This Article

BUTTANRI, B., BUTTANRI, İ. B., SERİN, D., SEVİM, M. Ş., ACAR, Z. (2012). Retrobulber anesthesia in phacoemulsification surgery. Glokom Katarakt, Cilt: 7 - Sayı: 3, 163–166. https://ajindex.com/articles/226485

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