Effect of Peribulbar Anesthesia with and Without Adrenaline on Retinal Thickness in Patients Undergoing Elective Cataract Surgery.

Adrenaline Cataract Lidocaine OCT

Journal

Anesthesiology and pain medicine
ISSN: 2228-7523
Titre abrégé: Anesth Pain Med
Pays: Netherlands
ID NLM: 101585412

Informations de publication

Date de publication:
Apr 2020
Historique:
received: 13 12 2019
revised: 05 03 2020
accepted: 19 03 2020
entrez: 6 8 2020
pubmed: 6 8 2020
medline: 6 8 2020
Statut: epublish

Résumé

The toxic effect of local anesthesia on the retina has been previously investigated in animal studies but not in humans. The objective of this study was to clarify the effect of local anesthesia with lidocaine versus local anesthesia with lidocaine with extra administration of adrenaline on the retinal layer thickness measured by optical coherence tomography (OCT) in patients indicated for elective cataract surgery. This is a randomized controlled trial conducted on 60 patients indicated for elective cataract surgery under local anesthesia with lidocaine. Thirty participants received local anesthesia with lidocaine 2% with extra administration of adrenaline (adrenaline group), and 30 participants received local anesthesia with lidocaine 2% only (control group). The retinal thickness was measured for all participants preoperatively and one week postoperatively using OCT. The OCT findings showed statistically significant decreases postoperatively in superior (P value = 0.028), inferior (P value = 0.017), and average (P value = 0.021) retinal thickness in the adrenaline group. Moreover, there were statistically significant decreases postoperatively in superior (P value = 0.032), inferior (P value = 0.046), and average (P value = 0.028) retinal thickness in the control group. Comparing the adrenaline and control groups for the OCT findings, there was no statistically significant difference between the groups regarding the decreases in superior (P value = 0.325), inferior (P value = 0.642), and average (P value = 0.291) retinal thickness. Local anesthesia with lidocaine significantly decreased the retinal thickness. The extra administration of adrenaline to lidocaine did not affect the post-anesthetic changes in the retinal thickness.

Sections du résumé

BACKGROUND BACKGROUND
The toxic effect of local anesthesia on the retina has been previously investigated in animal studies but not in humans.
OBJECTIVES OBJECTIVE
The objective of this study was to clarify the effect of local anesthesia with lidocaine versus local anesthesia with lidocaine with extra administration of adrenaline on the retinal layer thickness measured by optical coherence tomography (OCT) in patients indicated for elective cataract surgery.
METHODS METHODS
This is a randomized controlled trial conducted on 60 patients indicated for elective cataract surgery under local anesthesia with lidocaine. Thirty participants received local anesthesia with lidocaine 2% with extra administration of adrenaline (adrenaline group), and 30 participants received local anesthesia with lidocaine 2% only (control group). The retinal thickness was measured for all participants preoperatively and one week postoperatively using OCT.
RESULTS RESULTS
The OCT findings showed statistically significant decreases postoperatively in superior (P value = 0.028), inferior (P value = 0.017), and average (P value = 0.021) retinal thickness in the adrenaline group. Moreover, there were statistically significant decreases postoperatively in superior (P value = 0.032), inferior (P value = 0.046), and average (P value = 0.028) retinal thickness in the control group. Comparing the adrenaline and control groups for the OCT findings, there was no statistically significant difference between the groups regarding the decreases in superior (P value = 0.325), inferior (P value = 0.642), and average (P value = 0.291) retinal thickness.
CONCLUSIONS CONCLUSIONS
Local anesthesia with lidocaine significantly decreased the retinal thickness. The extra administration of adrenaline to lidocaine did not affect the post-anesthetic changes in the retinal thickness.

Identifiants

pubmed: 32754432
doi: 10.5812/aapm.100138
pmc: PMC7352650
doi:

Types de publication

Journal Article

Langues

eng

Pagination

e100138

Informations de copyright

Copyright © 2020, Author(s).

Déclaration de conflit d'intérêts

Conflict of Interests: The authors have no conflict of interest.

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Auteurs

Wael Fathy (W)

Department of Anaesthesia, Beni-Suef University, Beni-Suef, Egypt.

Ahmed Taha (A)

Department of Ophthalmology, Beni-Suef University, Beni-Suef, Egypt.

Sahar Ibrahim (S)

Department of Ophthalmology, Beni-Suef University, Beni-Suef, Egypt.

Classifications MeSH