[
    {
        "id": "osp-12039",
        "type": "article-journal",
        "title": "Study of safety and efficacy of sub-Tenon and subconjunctival anesthesia in manual small-incision cataract surgery for hard-grade cataracts",
        "author": [
            {
                "family": "Joshi",
                "given": "Rajesh Subhash"
            },
            {
                "family": "Goel",
                "given": "Pranshu"
            },
            {
                "family": "Doble",
                "given": "Pallavi"
            }
        ],
        "URL": "https://omanscience.com/en/articles/study-of-safety-and-efficacy-of-sub-tenon-and-subconjunctival-anesthesia-in-manual-small-incision-cataract-surgery-for-hard-grade-cataracts",
        "language": "en",
        "issued": {
            "date-parts": [
                [
                    2024
                ]
            ]
        },
        "container-title": "Oman Journal of Ophthalmology",
        "volume": "17",
        "issue": "2",
        "page": "181-186",
        "DOI": "10.4103/ojo.ojo_7_23",
        "publisher": "Medknow Publications",
        "ISSN": "0974-620X",
        "abstract": "Purpose: The purpose was to study the safety and efficacy of sub-Tenon and subconjunctival anesthesia in manual small-incision cataract surgery (MSICS) in patients with hard-grade cataracts.\n\nStudy design: The design of the study was a prospective, observational, and randomized control study.\n\nMaterials and methods: A total of 196 eyes, including 98 eyes in the subconjunctival anesthesia group (group A) and 98 eyes in the sub-Tenon anesthesia group (Group B), undergoing MSICS were enrolled in the study. A single surgeon performed all the surgeries. Intraoperative and postoperative pain scores, patient comfort, surgeon's satisfaction, and intraoperative complications were examined.\n\nResults: The mean age of patients in Group A was 66.64 ± 9.95 years and that of patients in Group B was 64.52 ± 9.46. No statistically significant difference was noted in the intraoperative (P = 0.54) and postoperative pain (P = 0.66) scores between the two groups. There was no pain (0 score) in 30% of patients in Group A and 35% of patients in Group B intraoperatively. The average surgical time (P = 0.66) and surgeon's comfort (P = 0.34) were not statistically significant. The mean corneal haze was 0.054 ± 0.12 in group A and 0.065 ± 0.22 in group B (P = 0.45). Two patients in group A required supplemental anesthesia. There were no surgical complications that could compromise visual outcomes. No patients in either group showed alterations in vital parameters or required intravenous sedation.\n\nConclusion: Both techniques of anesthesia are safe and effective for performing MSICS in hard-grade cataracts. However, it is prudent to choose a technique according to the surgeon's requirements."
    }
]