Investigation of preffered surgical and anesthesia techniques for cataract surgery
Abstract
BACKGROUND AND OBJECTIVES: The review of literature to assess the ideal anesthesia and surgicaltechniques for
cataract surgery. The surgical techniques mostly ophthalmologists prefer phacoemulsification and Extracapsular
cataract extraction technique meanwhile in anesthesia preference mostly topical with intracameral anesthesia and
retrobulbar is in use. Furthermore, study delves into the role of ophthalmologist’s factors such as their experience,
choice of surgery and anesthesia, patient safety and preference, and the changing trends between ophthalmologists.
The objective of this study was to improve patient care and outcomes, this study intends to evaluate anesthetic
performances and cataract surgical procedure with an emphasis on efficacy, safety, patient comfort cost
effectiveness, accessibility, scalability and long-term outcomes.
METHODOLOGY: TA cross-sectional survey of ophthalmology participants covered demographics, chosen
surgical and anesthesia techniques for cataract surgery, factors influencing anesthesia choice, sedation use, anesthesia
administration, supervision by trained personnel, and evolving anesthesia trends among surgeons.
RESULTS: According to our study most respondents were middle-aged or older, with 73.5% aged 35-55 and
26.5% over 55. The gender distribution was balanced, with Phacoemulsification (55.5%) being the most common
surgical method. Most patients (84%) found the procedures very effective, preferring topical anesthesia (37%) for
its convenience. Supplementary medications were widely used (85.5%), and follow-up protocols varied. The
findings underscore the growing preference for Phacoemulsification and topical anesthesia, highlighting
advancements in cataract surgery and patient care.
CONCLUSION: Currently, phacoemulsification is the ideal surgical technique for cataract. Topical with intracameral
anesthesia is the common anesthesia for phacoemulsification while retrobulbar anesthesia is the most
common for extracapsular cataract extraction.
KEYWORDS: Cataract , phacoemulsification, loss of vission ,surgery and anesthesia
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