|
NR 1-2/2004
|
|
|
|
|
|
|
|
|
Odczucia bólowe
pacjenta i komfort chirurga: ocena porównawcza
zewnątrztorebkowego wydobycia i fakoemulsyfikacji zaćmy
Patient’s pain feeling and
surgeon’s comfort:
ECCE versus phacoemulsification
Jakub J. Kałużny1, Iwona Eliks1,
Andrzej Mierzejewski2, Bartłomiej Kałużny1
1 Z Kliniki Okulistycznej Akademii Medycznej w
Bydgoszczy
Kierownik: prof. dr hab n. med. Józef Kałużny
2 Z Oddziału Okulistycznego Szpitala Wojewódzkiego w
Kaliszu
Ordynator: dr n. med. Andrzej Mierzejewski |
|
|
| Summary: |
Purpose: To compare
patient's pain and surgeon's comfort during ECCE
performed under retrobulbar anesthesia and
phacoemulsification under topical anesthesia.
Material and methods: 120 patients scheduled for
planned routine cataract extraction were divided in 2
groups: group I – 60 eyes, ECCE under retrobulbar
anesthesia and group II – 60 eyes, phacoemulsification
under topical anesthesia. Immediately after operation
patients were asked, to answer questions about their
feeling during surgery. Simultaneously, the surgeon
filled up the questionnaire, concerning patients
behavior during the entire procedure.
Results: Statistically significant higher level
of pain was reported in group I (ECCE). The most painful
moment of the procedure was retrobulbar injection.
During surgery pain feeling in both groups was similar.
Both types of anesthesia provided very good level of
surgeon's comfort. The longer operation, the higher
level of pain and lower surgeon's comfort were reported
in both groups.
Conclusions: Patients having ECCE performed under
retrobulbar anesthesia reported more pain comparing to
phacoemulsification under topical anesthesia. Both
anesthesia methods provided high level of surgeon's
comfort. |
| Słowa kluczowe: |
zaćma, wydobycie
zewnątrztorebkowe, fakoemulsyfikacja, ból pacjenta,
komfort chirurga. |
| Key words: |
cataract, ECCE,
phacoemulsification, patient’s pain, surgeon’s comfort. |
|
|
|
|
|
|
