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Query: UMLS:C0086543 (cataract)
 29,165 document(s) hit in 31,850,051 MEDLINE articles (0.00 seconds)

The paper presents a comparison of the efficacy of Bupivacaine with Xylocaine and Xylocaine alone used for retrobulbar injection and akinesia in cataract surgery. Two groups comprising 50 patients each were subjected to evaluation. The results obtained encourage to put into practice the mixture of Bupivacaine with Xylocaine for local anaesthesia in cataract operations.
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PMID:[Comparison of the effectiveness of bupivacaine with xylocaine and xylocaine alone used for akinesia and retrobulbar anesthesia in cataract surgery]. 210 63

Fifty patients in a double-blind study received in randomized fashion either etidocaine HCl (Duranest) 1% or lidocaine HCl (Xylocaine) 2% with epinephrine 1:200,000 in a retrobulbar block for cataract surgery. Two parallel groups of 25 patients each were studied comparing the clinical properties of the drugs. The onset time for sensory and motor blocks of both drugs was essentially the same (3 minutes). The duration of action of etidocaine was considerably longer than lidocaine and less postoperative pain medication was required by patients blocked with etidocaine.
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PMID:Etidocaine used for retrobulbar block: a comparison with lidocaine. 699 10

Any needle passing through a rubber stopper can aspirate a core of rubber. This rubber may then be injected into the eye or into the retrobulbar or peribulbar space. Aspirates from a number of syringes were spun down in a centrifuge and examined for microscopic particles. All specimens contained microscopic particles even from half-used bottles of Xylocaine.
J Cataract Refract Surg 1994 Mar
PMID:Coring: a potential problem in eye surgery. 820 68

A new technique was developed that combines topical and subconjunctival sub-Tenon's anesthesia, with the goal of enhancing the topical anesthesia by blocking the perilimbal nerve plexus and the long posterior ciliary nerves as they pass intrasclerally in the horizontal hemimeridians of the eye. In this technique-circumferential peribulbar anesthesia-topical 4% lidocaine hydrochloride (Xylocaine) is administered, followed by a subconjunctival injection of 0.25 cc 4% Xylocaine 3.0 to 4.0 mm superior to the limbus. Then, the anesthetic is spread 360 degrees around the limbus. Medical records and postoperative interviews of 68 consecutive patients having phacoemulsification with circumferential peribulbar anesthesia showed no reports of intraoperative pain.
J Cataract Refract Surg 1996 Oct
PMID:Circumferential perilimbal anesthesia. 910 94

A 52-year-old man had loss of vision and black discoloration of the lids of the right eye after a retrobulbar injection of 3 mL lidocaine hydrochloride 2% (Xylocaine). Examination of the right eye revealed no light perception with extensive necrosis of the lids. Anterior segment examination revealed conjunctival pallor, corneal edema, and necrosis of the sclera. This is a previously unreported complication of retrobulbar anesthesia comprising ophthalmic artery occlusion with scleral melt, ocular ischemia, and eyelid necrosis.
J Cataract Refract Surg 2003 Apr
PMID:Necrosis of the eyelids and sclera after retrobulbar anesthesia. 1268 60

We share our experience of a 50-year-old controlled hypertensive woman who had routine cataract surgery in her left eye. She was given retrobulbar Xylocaine with adrenalin and postoperative gentamycin. She subsequently became blind in the operated eye after developing macular infarction by the first day post operative and optic atrophy by 2 months postoperative. This could have been caused by vascular occlusion in an already compromised artherosclerosed vessels. It could also have been due to gentamyin toxicity. Gentamycin injection given subconjunctivally is known to rarely result in severe retinal toxicity. This case illustrates that even though cataract surgery is considerd a simple routine procedure, and is performed in high volumes, it is not without its blinding complications. We recommend that the use of adrenaline in xylocaine should be used with caution in hypertensive patients and also the routine use of subconjunctival gentamycin injection after cataract surgery should be reviewed and other modes of endophthalmitis prophylaxis be considered.
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PMID:A sudden total loss of vision after routine cataract surgery. 2396 48