A study on the effect of topical lidocaine gel versus drops on surgeon抯 comfort during manual small incision cataract surgery
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Date
2018-08
Journal Title
Journal ISSN
Volume Title
Publisher
Medip Academy
Abstract
Background: Cataract is a frequent surgical procedure performed worldwide. The study compared lidocaine 4% drops with 2% gel on surgeon抯 comfort, need for supplemental anaesthesia and duration of surgery in patients who underwent manual small incision cataract surgery.Methods: This was a Prospective, Comparison study conducted at a Single centre by multiple surgeons. Patients enrolled for surgeries were divided into Group A: Lidocaine 4% drops 1ml was instilled in the conjunctival sac 5 minutes before surgery and Group B: Lidocaine 2% gel 2ml was applied. Endpoints evaluated were surgeon抯 comfort, need for supplemental anesthesia and duration of surgery.Results: The mean duration of surgery for gel was 20�minutes as compared to 29�minutes with drops (p*- value<0.001). 26 (87%) patients in gel did not require any supplemental anesthesia as compared to 3 (10%) patients in drops. Peribulbar supplementation was required for 20 (67%) patients in drops as compared to 1 (3%) patient in gel (p*- value<0.001). 26 (87%) patients in gel were operated comfortably by the surgeon as compared to 2 (6%) patients in drops. Mild to Moderate discomfort was experienced by the surgeon in operating 27 (90%) patients in drops as compared to 3(10%) patients in gel (p*- value<0.001).Conclusions: The surgeons were more comfortable using gel with least requirement of supplemental anaesthesia and faster completion compared to drops.
Description
Keywords
Lidocaine gel, Lidocaine drops, MSICS, Surgeon抯 comfort, Topical anaesthesia
Citation
Krishnan Prakash, Sam Sancy Mary, Kuriachan Sanitha, Sethuraman Nirmala. A study on the effect of topical lidocaine gel versus drops on surgeon抯 comfort during manual small incision cataract surgery. International Journal of Basic & Clinical Pharmacology. 2018 Aug; 7(8): 1485-1489