TY - JOUR AU - Mahamongkol, Kittiya PY - 2018/06/11 Y2 - 2024/03/29 TI - การเปรียบเทียบการฉีดยาชาเข้าใต้เยื่อบุตา กับการฉีดยาชาเข้าใต้กระบอกตา ในการผ่าตัดต้อกระจก JF - วารสารแพทย์เขต 4-5 JA - Reg 4-5 Med J VL - 31 IS - 2 SE - นิพนธ์ต้นฉบับ DO - UR - https://he02.tci-thaijo.org/index.php/reg45/article/view/128032 SP - 121-127 AB - <p><strong>Objectives: </strong>To compare the effectiveness and complications of superior subconjunctival anaesthesia with retrobulbar anaesthesia in ECCE with IOL</p><p><strong>Material and methods: </strong>This study is comparative prospective nonrandomized study of 2 groups of Extracapsular Cataract Extraction with Intraocular Lens (ECCE/IOL); one received superior subconjunctival anaesthesia and the other received retrobulbar anaesthesia. Patients’ data were collected in aspects of; gender, age, operations, operative time, pain score according to simplified ordinal pain scale as operative processing, including their complications. Data of both groups were compared and analyzed by chi-square test.</p><p><strong>Results: </strong>549 patients enrolled in the study; 241 received superior subconjunctival anaesthesia and 348 received retrobulbar anaesthesia. All of the operations had been completed uneventfully in both anaesthetic groups.</p><p>There was no statistic difference in age, operative time and anaesthetic effect but chemosis occurred more in superior subconjunctival anaesthesia group. However, retrobulbar hemorrhage, cardio-pulmonary disturbance and eye proptosis were particular complications of retrobulbar block</p><p><strong>Conclusion: </strong>Superior subconjunctival anaesthesia in ECCE/IOL is feasible, practical and carries no serious complication when compare to retrobulbar anesthesia.</p> ER -