Investigation of preffered surgical and anesthesia techniques for cataract surgery
DOI:
https://doi.org/10.71395/ijhp.1.1.2024.24-28Abstract
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
References
Wedad Al-dolat, Noor M Alqudah, Dema Atoum, Rami Al-Omari & Moawiah Khatatbeh (2021) Preferred Surgical and Anesthesia Techniques for Cataract Surgery in Jordan, Clinical Ophthalmology, 15:, 4259-4267, DOI: 10.2147/OPTH.S334425
GBD 2019 Blindness and Vision Impairment Collaborators; Vision Loss Expert Group of the Global Burden of Disease Study. Causes of blindness and vision Impairment in 2020 and trends over 30 years, and prevalence of avoidable Blindness in relation to VISION 2020: the Right to Sight: an analysis for the Global Burden of Disease Study. Lancet Glob Health. 2021 Feb;9(2):e144-e160. doi: 10.1016/S2214 109X(20)30489-7.
Burton MJ, Ramke J, Marques AP, Bourne RR, Congdon N, Jones I, et al. The Lancet Global Health commission on Global Eye Health: vision beyond 2020. Lancet Glob Health. 2021; 9(4):489–551.
Perumal D, Dudley RA, Gan S, et al. Anesthesia Care for Cataract Surgery in Medicare Beneficiaries. JAMA Intern Med.2022;182(11):11-17.- doi:10.1001/jamainternmed.2022.4333
Vision 2020: the cataract challenge. Community Eye Health. 2000;13(34):17-9. PMID: 17491949; PMCID: PMC1705965. Nouvellon, E., Cuvillon, P., Ripart, J. et al. Anesthesia for Cataract Surgery. Drugs Aging 27, 21–38 (2010). https://- doi.org/10.2165/11318590-000000000-0000
Lapp T, Wacker K, Heinz C, Maier P, Eberwein P, Reinhard T. Cataract SurgeryIndications, Techniques, and Intraocular Lens Selection. Dtsch Arztebl Int. 2023 May 30;120(21):377-386. doi: 10.3238/arztebl.m2023.0028. PMID: 36794457; PMCID: PMC10413970.
Malik A, Fletcher EC, Chong V, Dasan J. Local anesthesia for cataract surgery. Journal of Cataract & Refractive Surgery. 2010 Jan 1;36(1):133-52.
Malik, Adeela MBBS*; Fletcher, Emily C. MRCOphth; Chong, Victor FRCOphth; Dasan, Jay FRCA. Local anesthesia for cataract surgery. Journal of Cataract Refractive Surgery 36(1):p 133-152, January 2010. | DOI: 10.1016/j.jcrs.2009.10.025
Toward Zero Effective Phacoemulsification Time Using Femtosecond Laser Pretreatment Abell, Robin G. Et al.Ophthalmology, Volume 120, Issue 5, 942948
Robert L Stamper MD, … Michael V Drake MD, in Becker-Shaffer’s Diagnosis And Therapy of the Glaucoma’s (Eighth Edition), 2009
Lapp, T., Wacker, K., Heinz, C., Maier, P., Eberwein, P. And Reinhard, T., 2023. Cataract surgery—indications, techniques, and intraocular
lens selection. Deutsches Ärzteblatt International, 120(21-22), p.377.
Al-dolat, W. Et al. (2021) ‘Preferred Surgical and Anesthesia Techniques for Cataract Surgery i Jordan’, Clinical Ophthalmology, 15, pp.
–4267. Doi: 10.2147/OPTH.S334425.
Wutthayakorn, W., Chansangpetch, S. & Tunruttanakul, S. Topical and Subconjunctival anesthesia versus topical anesthesia alone in patients with Senile cataracts undergoing phacoemulsification: a double-blind randomized Controlled trial. BMC Ophthalmol 24, 20 (2024).
Rewri, Parveen1, Choudhary, Anjali1; Pandey, Surya Mani2; Singhal, Aparna1; Chaudhary, Priyanka1; Kumar, Sanjeev3. Topical Anesthesia For Cataract Surgery: Patient’s And Surgeon’s Perspective. Delhi Journal of Ophthalmology 31(3): p 32-36, Jan–Mar 2021. | DOI: 10.7869/djo.620
Bjørnnes, A. K., Rustøen, T., Lie, I., Watt-Watson, J., Legarda, M. (2016). Pain Characteristics and analgesic intake before and following cardiac surgery. Eur. J. Cardiovasc. Nurse. 15, 47–54. Doi: 10.1177/1474515114550441
Jaichandran, V.V., 2020. Practice Pattern of Regional Ophthalmic Anaesthesia In Cataract Surgery-A Survey among Indian Trainees. EC Anaesthesia, 6, pp.03-08
Malik, A., Fletcher, E.C., Chong, V. And Dasan, J., 2010. Local anesthesia for Cataract surgery. Journal of Cataract & Refractive Surgery, 36(1), pp.133-152.
Dhillon, H.K., Agarkar, S., Vijaya, L., Bhende, M., Baskaran, M. And Jaichandran, V.V., 2023. Examination under anesthesia: Preferred practice. Indian Journal of Ophthalmology, 71(11), pp.3438-3445
Smith, K., 2023. Anesthesia considerations for immediately sequential Bilateral cataract surgery. In Immediately Sequential Bilateral Cataract Surgery (ISBCS) (pp. 319-324). Academic Press. Hamid M, Shiwani HA, Hamid F. A survey of anesthetic preferences in Cataract surgery. Int J ophthalmology. 2022 Feb 18;15(2):342-345. Doi: 10.18240/ijo.2022.02.22. PMID: 35186697; PMCID: PMC8818464
Alhassan MB, Kyari F, Ejere HOD. Peribulbar versus retrobulbar anaesthesia For cataract surgery. Cochrane Database of Systematic
Reviews 2008, Issue 3. Art. No.: CD004083. DOI: 10.1002/14651858.CD004083.pub2. Accessed 20 March 2024.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 International Journal of Healthcare Professions

This work is licensed under a Creative Commons Attribution 4.0 International License.
This is an open-access journal and all the published articles / items are distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. For comments ijhp@giu.edu.pk