Dr.Amrin

Prof.Sanjiv Kumar Gupta

Abstract

Study was undertaken to evaluate the use of topical anesthesia for Manual small incision cataract surgery in high volume cataract surgery setup

Aims:

Primary aim- To evaluate the pain experience of the patients undergoing Manual Small Incision Cataract Surgery (MSICS) under topical anesthesia using 2% lignocaine jelly in high volume cataract surgery setup.

Secondary aim: To study relation between the pain experience and education status, gender and age of the patients

Methods: Patients underwent MSICS under topical anesthesia using lignocaine 2% jelly and intracameral 0.5% lignocaine solution

Results: The study included 270 patients, with average age 62.7 years. Average pain score was 1.6 units (SD ± 0.72, scale 1-5) with ~85% patients reporting comfortable experience.

Conclusions: MICS under topical anesthesia using lignocaine 2% jelly and intracameral lignocaine, is safe and comfortable to majority of patients and is unaffected by gender, age or educational status of the patients.