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23-gauge Pars Plana Vitrectomy Under Topical Anesthesia

We present the case of a 75-years-old male patient with decreased visual acuity from vitreous hemorrhage. Visual acuity was hand movement. We performed 23 G pars plana vitrectomy under topical anesthesia. The patient was very interested in all surgical procedures. We communicated with him during the surgery. The procedure was completed in approximately twenty minutes without any complications. In both the intraoperative and postoperative...

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Topical Anesthesia in Posterior Vitrectomy with Sutureless Surgery

Hande Etus, Levent Karabas, Gulin Karaaslan, Yusuf Çaglar (Kocaeli, Turkey) Advantages: We initiated this prospective study to determine the safety and efficacy of topical anesthesia and its effect on surgical time in 23 G posterior vitrectomy. Methods: This study was comprised of 67 patients (73 eyes) scheduled for posterior vitrectomy using topical (35 eyes) (group 1) or retrobulbar (38 eyes) (group 2) anesthesia. Subjective pain and...

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Subtenon Anesthesia in Vitreoretinal Surgery

Authors: Willemine De Vries Knoppert, José Reichert, Peter Ringens, Amsterdam, The Netherlands Advantages: Compared to general anesthesia, local anesthesia offers an increased safety for the patients, especially those in high-risk categories. It saves time and reduces costs. It provides a prolonged analgesia and a rapid recovery, both of which are especially important in the outpatient population. The use of a blunt cannula to administer...

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Sutureless 25g and 23g Vitrectomy Under Topical Anaesthesia

Ioannis P. Theocharis, MD (Athens, Attica, Greece), Zoran Tomic, MD (Uppsala, Sweden), Anastassia Alexandridou, MD, PhD (Athens, Greece) PURPOSE: To evaluate the safety and patients’ tolerance to topical anaesthesia in vitreoretinal surgery. METHODS: 38 (n=38) patients (group A) were operated with 25g (n=25) and 23g (n=13) vitrectomy under topical anaesthesia with 2% lidocaine gel, for various vitreoretinal diseases (macula holes,...

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Effect of Volume Used in Sub-Tenon’s Anesthesia on Efficacy and Intraocular Pressure in Vitreoretinal Surgery

Dong Heun Nam, MD (Incheon, Korea), Hyun Seung Moon, MD (Incheon, Korea), Hae Jung Paik, MD, PhD (Incheon, Korea) PURPOSE: To compare the effect of volume used in sub-Tenon’s anesthesia on efficacy and intraocular pressure (IOP) in vitreoretinal surgery. METHODS: A prospective, clinical trial was conducted on patients undergoing sub-Tenon’s anesthetic for vitreoretinal surgery. Patients were randomized to either 3 mL, 5 mL or 7 mL...

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25g Vitrectomy with Topical Anaesthesia

I. P. Theocharis, Z. Tomic, A. Alexandridou, N. J. Gilli Purpose: To evaluate the safety and patients’ tolerance to topical anaesthesia in vitreoretinal surgery in selected cases, including combined phaco-vitrectomy procedures, macula surgery and cases of complicated cataract surgery as well. Methods: Twelve (12) patients were operated with 25g vitrectomy under topical anaesthesia with 2% unpreserved xylocaine gel for various...

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