Сравнительный анализ различных методов анестезии в офтальмохирургии

Abstract

Aim. Evaluation of the effectiveness and frequency of local complications when using various methods of anesthesia during ophthalmic operations. Methods. We observed 357 patients divided into 3 groups who underwent surgery for cataracts and glaucoma under local or regional anesthesia. Results. In group 1 there were 72 patients who underwent cataract phacoemulsification (CPE) + IOL + trabeculotomy, anesthesia was adequate in all patients, pain syndrome of 2 points was noted by 25 patients (34.7 %). In group 2 there were 212 patients who underwent CPE + IOL, 97 % had adequate anesthesia, 2 patients (3 %) noted pain syndrome of 8 points, 6 points – 6 patients (4 %), 4 points – 17 patients (8 %), 2 points – 29 patients (13.6 %). In group 3 there were 73 patients who underwent AGO, anesthesia was adequate for all, pain syndrome was noted by 6 patients (8.2 %) in 4 points, 9 patients (12.3 %) in 2 points. Conclusions. The use of subtenon anesthesia when performing ophthalmic surgery for cataract and glaucoma showed adequate safety and efficacy, comparable with retrobulbar block. Key words: anesthesia methods; ophthalmic surgery; subtenon anesthesia.