OBJECTIVE: To find a safe, effective, simple and low-cost method of anesthesia delivery in large-incision cataract surgery that will avoid all the complications of Retrobulbar, Peribulbar and Periocular anesthesia METHODS: 150 eyes underwent ECCE with posterior capsule lens utilizing only topical and subconjunctival anesthesia using a mixture of 2% Lidocaine and a drop of Epinephrine 1:1000. For akinesia, the Modified Van-Lint technique was used with 2% lidocaine RESULTS: Not one patients complained of pain during the procedure even when iridectomies were done. Immobilization of the globe and exposure of the "working area" (superior limbus was satisfactory using fixation sutures in the nasal and temporal bulbar conjunctiva in lieu of a superior rectus bridle suture which was eliminated from the procedure because of the pain CONCLUSION: Our new method of anesthesia delivery in large-incision cataract surgery leads to the following information: 1) no need for superior rectus bridle suture; 2) even without ciliary ganglion anesthesia, no pain is elicited with iridectomies; 3) no need for an expensive mixture of anesthetics; 4) no need for the anesthetic to enter even an mm into the orbit. (Author)
Human ; ANESTHESIA, SURGERY, BULBAR CONJUNCTIVA, LIDOCAINE, EPINEPHRINE