Abstract

Purpose To evaluate the effectiveness of subconjunctival anesthesia in conventional extracapsular cataract extraction (ECCE) with intraocular lens (IOL) implantation. Setting Eye Hospital, Colombo, Sri Lanka. Methods This prospective study evaluated the complications related to the use of subconjunctival anesthesia in conventional ECCE with IOL implantation. Patient-reported pain during surgery in the first 100 consecutive cases was also evaluated. Results Complications from the subconjunctival anesthesia technique were few. Patients did not report intraoperative pain severe enough to cause the procedure to be abandoned or the anesthesia reinforced; surgery was successfully performed in all cases. Conclusions Circumcorneal perilimbal anesthesia was effective for ECCE with IOL implantation. It is important that the surgeon is experienced in the technique and that patients are carefully selected.

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