Department of Ophthalmology, Neuro-ophthalmology and Ocular Immunology Service, Hospital C. Cantù, Abbiategrasso, Milan, Italy.
Cornea. 2010 Apr;29(4):375-6. doi: 10.1097/ICO.0b013e3181ba7061.
To evaluate efficacy of ropivacaine 1% for topical anesthesia in pterygium surgery with conjunctival autograft using fibrin glue for attaching the graft to the bare sclera.
Thirty-seven patients affected by primary pterygium underwent surgical excision under topical anesthesia with ropivacaine 1%. We performed a surgical approach with dissection of the pterygium, scraping of corneal bed with a motorized burr, meticulous excision of underlying Tenon's capsule, preparation of a free autologous conjunctival graft in the superior sector, excision of the graft, and position of the same to cover the scleral bed exposed in the nasal area with respect to limbus and stromal orientation fixing the graft with fibrin glue.
It was possible to perform all the procedures without any supplemental anesthesia and sedation. The pain reported by patients, recorded by a 0 to 10 scale, was low during the entire surgery. The technique with conjunctival autograft using a fibrin sealant allowed for short operative times and good aesthetic and functional results.
Topical anesthesia with ropivacaine is safe and effective in pterygium surgery. The Long-lasting anesthesia with this agent permitted performing our surgical procedures with autograft conjunctival graft and fibrin glue to attach the flap with low pain perceived by our patients, low surgical invasivity, and short duration of surgery.
评估在翼状胬肉手术中使用罗哌卡因 1%进行局部麻醉的效果，该手术使用纤维蛋白胶将移植物粘贴到裸露的巩膜上。
37 名原发性翼状胬肉患者接受了局部麻醉下的手术切除，使用的是 1%罗哌卡因。我们采用了一种手术方法，包括翼状胬肉的剥离、电动磨头对角膜床的刮除、仔细切除下方的 Tenon 囊、在上方象限制备游离自体结膜移植物、切除移植物，并将其置于鼻侧暴露的巩膜床上，以保持与角膜缘和基质方向的一致，使用纤维蛋白胶固定移植物。
所有手术都可以在没有任何辅助麻醉和镇静的情况下完成。患者通过 0 到 10 分的量表记录的疼痛在整个手术过程中都较低。使用纤维蛋白密封剂的结膜自体移植物技术允许进行短时间的手术，并获得良好的美学和功能结果。
罗哌卡因局部麻醉在翼状胬肉手术中是安全有效的。这种药物的长效麻醉使我们能够进行带有自体结膜移植物和纤维蛋白胶的手术程序，从而使我们的患者感知到的疼痛较低、手术侵入性较小、手术时间较短。
