Intracameral lidocaine as supplement to classic topical anesthesia for relieving ocular pain in cataract surgery
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Marcella Nebbioso. Department of Sense Organs, Ocular Electrophysiology Center, Policlinico Umberto I Hospital, Sapienza University of Rome, v. le del Policlinico 155, Rome 00161, Italy.


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    AIM: To evaluate safety, efficacy, and patient adherence of intracameral lidocaine as supplement of classic topical anesthetic drops in cataract surgery. METHODS: A prospective and controlled trial including a large cohort of 1650 individuals suffering with bilateral cataract not complicated, in program by phacoemulsification surgery, were randomly assigned to 2 different groups for the type of anesthesia received, 0.4% oxybuprocaine hydrochloride (INN) drops, and INN drops associated to intracameral 1% lidocaine hydrochloride monohydrate. At the end of surgery, tables were assigned to each patient indicating the degree of pain (0-3) felt during the operation. RESULTS: Thirty-two percent of patients in group 1 declared to have not felt any pain against the 77% of patients in group 2. Fifty-nine percent of patients in group 1 complained about only a slight discomfort against 20% of group 2 patients. Only a small percentage of patients in group 1 (5%) admitted severe pain, while no patient in group 2 admitted severe pain. Four patients of group 2 reported an episode of transient amaurosis, lasting several hours after surgery. CONCLUSION: Intracameral administration of lidocaine is a simple and secure method able to increase the analgesia during the cataract surgery, eliminating the discomfort and increasing also the cooperation of the patients during the steps of manipulation.

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Marcella Nebbioso, Maria Luisa Livani, Valentina Santamaria, et al. Intracameral lidocaine as supplement to classic topical anesthesia for relieving ocular pain in cataract surgery. Int J Ophthalmol, 2018,11(12):1932-1935

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  • Received:August 06,2017
  • Revised:October 19,2018
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  • Online: December 05,2018
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