ISSN: 1300-0365
Dil: Türkçe
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Oftalmik Cerrahide Lokal Anestezi
Nurten ÜNLÜ*, Ayşe NURÖZLER**, Fatih ÇETİNKAYA*, Sunay DUMAN***
*SB Ankara Hastanesi Göz Kliniği Asistanı **SB Ankara Hastanesi Göz Kliniği Başasistanı***SB Ankara Hastanesi Göz Kliniği Şefi, ANKARA
LOCAL ANESTHESIA IN OPHTHALMIC SURGERY
Randomised 48 patients who were admitted for intraocular lens implantation were divided into 3 equol groups. As a local anesthetic
lidocaine, bupivacaine and mixture of lidocaine and bupivacaine (50/50 volumetric) were used. Lidocaine provided good ocular
akinesia at operation (mean 7.6 min), but pain relief was short lived (56.25%) complained of pain in early postoperative period.
Bupivacaine did not give absolute ocular akinesia (37.5%) and the onset of action was slow (12.1 min.), but it provided adequate
and prolonged pain relief (12.5%). When used in combination, the avarage time of adequate akinesia was 10.1 min., postoperative
pain was less (25.0%), when compared with the usage of lidocaine alone. The mixture of two local anesthetics in equal
volumes eliminated the disadvantages of their individual use.Keywords: Ophthalmic surgery. Ocular akinesia. Bupivacaine, Lidocaine
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