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Comparison of pain experience during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia

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Abstract

The objective of this study is to compare pain and discomfort scores of patients during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia without using sedation. A total of 157 patients with various vitreoretinal disorders were included in this study. Patients were randomly divided into two groups: topical (group 1, n = 76) and retrobulbar anesthesia (group 2, n = 81). Patients underwent 23-G vitreoretinal surgery without using sedation. All patients rated the level of experienced pain during the surgical procedure using a visual analogue pain scale. Pain and discomfort scores while performing anesthesia were significantly higher in group 2 than group 1 (p < 0.001). Patients in group 1 experienced more pain than group 2 during trocar insertion, endolaser photocoagulation, and scleral indentation steps of surgery (for all; p < 0.001). There was no significant difference in overall pain and discomfort scores and surgeon comfort scores between groups (p = 0.163, p = 0.097; respectively). None of the patients required additional anesthesia or sedation during or after the procedure. Topical anesthesia without using sedation is a safe and effective, alternative method for 23-G vitreoretinal surgeries in selected patients with various vitreoretinal pathologies.

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Authors and Affiliations

  1. Department of Ophthalmology , School of Medicine, Gaziantep University, Gaziantep, 27310, Turkey

    Alper Mete, Oguzhan Saygılı, Sabit Kimyon, Seda Çeri & Kıvanç Güngör

  2. Department of Ophthalmology, Hatem Private Hospital, Gaziantep, Turkey

    Can Pamukcu

  3. Department of Public Health , School of Medicine, Gaziantep University, Gaziantep, 27310, Turkey

    Mithat Temizer

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  1. Alper Mete
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  2. Oguzhan Saygılı
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  3. Sabit Kimyon
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  4. Can Pamukcu
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  5. Seda Çeri
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  6. Kıvanç Güngör
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  7. Mithat Temizer
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Correspondence to Sabit Kimyon.

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Mete, A., Saygılı, O., Kimyon, S. et al. Comparison of pain experience during 23-G vitreoretinal surgery under topical and retrobulbar anesthesia. Int Ophthalmol 37, 349–356 (2017). https://doi.org/10.1007/s10792-016-0268-6

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  • DOI: https://doi.org/10.1007/s10792-016-0268-6

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