ISSN: 1300-0365
Dil: Türkçe
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Katarakt Cerrahisinde Peribulber Anestezinin Retrobulber Anesteziye Tercih Nedenleri
Hakkı BİRİNCİ*, A.Tevfik SUNTER**
* Uzm.Dr. Çarşamba Devlet Hastanesi, **Arş.Gör.Dr. 19 Mayıs Üniversitesi Tıp Fakültesi Halk Sağlığı, SAMSUN
In fifty patients who were applied cataract surgery in Çarşamba city hospital between the dates december 1994 and november 1996; efficiency of peribulbar and retrobulbar anesthesia were compared . Peribulbar anesthesia were applicated in 26 patients and retrobulbar anesthesia were applicated in 24 patients.
An absolute akinesia were attained in 20 (%76.92) of the patients who were applicated peribulbar anesthesia. An absolute akinesia were attained in 11 (%45.83) and reinjection were required in 2 (%8.33) patients who were applicated retrobulbar anesthesia. Peribulbar anesthesia was more effective in conjunctival anesthesia. Chemozis which was seen more frequent in peribulbar anesthesia hasn’t affected to the progress of the operation.
Intraocular pressure increase following the anesthetic substance injection was more frequent in peribulbar anesthesia (P<0.01). Application of the honan balloon has reduced the intraoculer pressure to the desired levels.
We concluded that the peribulbar anesthesia in cataract surgery is more effective and reliable.Keywords: Retrobulbar anesthesia, Peribulbar anesthesia, Intraocular pressure, Akinesia of globeTurkiye Klinikleri Oftalmoloji 1997, 6:170-173
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