小梁切除术中前房内注射利多卡因。一项初步安全性和有效性研究。
Intracameral lidocaine in trabeculectomy. A preliminary safety and efficacy study.
作者信息
Lai Jimmy S M, Tham Clement C Y, Lam Dennis S C
机构信息
Department of Ophthalmology, United Christian Hospital, Hip Wo Street, Kwun Tong, Kowloon, Hong Kong, China.
出版信息
Indian J Ophthalmol. 2002 Sep;50(3):197-200.
PURPOSE
To study the safety and efficacy of intracameral lidocaine as anaesthesia in trabeculectomy for primary open-angle glaucoma.
METHODS
Trabeculectomy under intracameral anaesthesia using 1% preservative-free lidocaine was performed in 10 patients with primary open-angle glaucoma. Intraoperative pain score, postoperative intraocular pressure (IOP) and endothelial cell count at 3 months were recorded.
RESULTS
The mean pain score was 1.70 +/- 1.34. The mean IOP was lowered from 24.60 +/- 8.28 mmHg preoperatively to 14.1 +/- 3.11 mm Hg postoperatively. There was no significant decrease in the mean endothelial cell count 3 months after the surgery (P = 0.375).
CONCLUSION
Intracameral lidocaine may be a safe and effective alternative anaesthesia method in trabeculectomy for uncomplicated primary open-angle glaucoma.
目的
研究前房内注射利多卡因作为原发性开角型青光眼小梁切除术麻醉方法的安全性和有效性。
方法
对10例原发性开角型青光眼患者行前房内麻醉下的小梁切除术，使用1%无防腐剂利多卡因。记录术中疼痛评分、术后眼压（IOP）及术后3个月的内皮细胞计数。
结果
平均疼痛评分为1.70±1.34。平均眼压从术前的24.60±8.28 mmHg降至术后的14.1±3.11 mmHg。术后3个月平均内皮细胞计数无显著下降（P = 0.375）。
结论
前房内注射利多卡因可能是单纯原发性开角型青光眼小梁切除术一种安全有效的麻醉替代方法。
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