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R. Adam, T. Rodallec, J.-P. Nordmann; Paine Evaluation During 23g Transconjonctival Sutureless Vitrectomy Under Topic Anesthesia.. Invest. Ophthalmol. Vis. Sci. 2008;49(13):5971.
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Tto evaluate pain during 23G transconjonctival sutureless vitrectomy under topic anesthesia (lidocaine 2% gel).
20 patients were included in this prospective study presenting : epiretinal membrane, intravitreal hemorragy, vitreoretinal traction syndrome. All patients had topic anesthesia with lidocaine 2% gel with propofol potentialisation one or two minutes before 23G before performing the sclerotomies. Pain was evaluated at the end of procedure with the visual analogue scale (VAS). The day after surgery the subjective pain perception was assessed.
Mean value of pain was assessed at 3.2 (VAS) at the end of the surgery. The day after surgery 90% of patients pronounced their satisfaction with the surgery and anesthetic protocol. No complication, which could be caused by topical anesthesia, even in patients with anticoagulant treatment, was observed .
Topical anesthesia with Lidocaine 2% gel may be considered a valid alternative to peribulbar anesthesia in sutureless 23 G vitrectomy for simple vitreoretinal surgery. Careful patient selection is critical to the success of the surgery.
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