Objective: To determine the possibilities and effectiveness of topical anesthesia for simple corneal repair.
Methodolgy: This descriptive study was carried out at Govt Lady Reading Hospital, Peshawar, Khyber pakhtunkhwa, Pakistan from January 2012 to June 2013. Using Non probability purposive sampling technique 52 patients underwent corneal repair for perforation under topical anesthesia. Unsuccessful repairs were operated on the next day under general anesthesia. These cases were used as controls.
Results: Out of 52 patients, 45(86.5%) were male and only 7 (13.5) female. Mean age was 33±5 years. Success was achieved in 48 (92.3) cases and only 4 (7.7%) were unsuccessful. Pain was reported in 5 (9.6%) cases, photophobia from operating microscope light in 04 (7.7%) cases and in only one (1.9%) patient felt anxiety and movements during surgery. All these were re operated under ketamine successfully. When operated under general anesthesia, the pain and discomfort were totally.
Conclusion: Topical anesthesia for simple cornea repair was a possible and effective viable option in cooperative selected patients with few complications. Most hazards of general anesthesia can be avoided in many patients.
Key words: Topical anesthesia, corneal perforations, simple cornea repair, trauma
|
