Abstract | PURPOSE: PATIENTS AND METHODS: The prospective clinical interventional study included all 11 patients undergoing cyclocryocoagulation and/or retinal exocryocoagulation as treatment of neovascular glaucoma due to proliferate ischemic retinopathies. Using a commercially available retrobulbar needle with a diameter of 0.80 mm and a length of 38 mm, 7 mL of a local anesthetic were injected. Through the same needle, a 28-gauge commercially available flexible catheter was introduced into the retrobulbar space, the needle was withdrawn, and the catheter was fixed in place. When the patients began to feel pain during or after surgery, 2 mL of a local anesthetic were reinjected through the catheter. The catheter was removed 24 hours after surgery. RESULTS: Due to increasing pain in the postoperative period, 8 (72.7%) patients received a reinjection 156.3 +/- 94.6 minutes after the preoperative injection. Seven (63.6%) patients requested a second reinjection 268.6 +/- 45.7 minutes after the preoperative injection, and three (27.3%) patients requested a third postoperative injection 333.3 +/- 79.1 minutes after the preoperative injection. Reinjection of the local anesthetic through the catheter markedly decreased the pain within 5 minutes of injection in all patients. CONCLUSIONS:
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Authors | Melanie Jäger, Thomas Hemmerling, Jost B Jonas |
Journal | Journal of glaucoma
(J Glaucoma)
Vol. 11
Issue 1
Pg. 26-9
(Feb 2002)
ISSN: 1057-0829 [Print] United States |
PMID | 11821686
(Publication Type: Journal Article)
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Chemical References |
- Anesthetics, Local
- Mepivacaine
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Topics |
- Aged
- Aged, 80 and over
- Analgesia
(methods)
- Anesthesia, Local
(methods)
- Anesthetics, Local
(administration & dosage)
- Catheterization
(methods)
- Catheters, Indwelling
- Ciliary Body
(surgery)
- Cryosurgery
- Female
- Glaucoma, Neovascular
(etiology, surgery)
- Humans
- Male
- Mepivacaine
(administration & dosage)
- Middle Aged
- Orbit
- Pain, Postoperative
(drug therapy)
- Prospective Studies
- Retinal Diseases
(complications, surgery)
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