Turkiye Klinikleri Journal of Ophthalmology

Katarakt Cerrahisinde Peribulber Anestezinin Retrobulber Anesteziye Tercih Nedenleri
Katarakt Cerrahisinde Peribulber Anestezinin Retrobulber Anesteziye Tercih Nedenleri
Hakkı BİRİNCİ*, A.Tevfik SUNTER**
*.Çarşamba Devlet Hastanesi, **Arş.Gör.19 Mayıs Üniversitesi Tıp Fakültesi Halk Sağlığı, SAMSUN
Turkiye Klinikleri J Ophthalmol. 1997;6(3):170-3
Article Language: TR
Full Text
ÖZET
Çarşamba devlet hastanesinde aralık 1994-Kasım 1996 tarihleri arasında katarakt cerrahisi yapılan 50 hastada peribulber ve retrobulber anestezinin etkinlikleri karşılaş-tırıldı. 26 hastada peribulber 24 hastada retrobulber anestezi uygulandı. Peribulber anestezi uygulanan hastaların 20'sinde (%76.92) absolü akinezi sağlandı. Retrobulber anestezi uygulananlarda 11 hastada (%45.83) absolü akinezi sağlandı, 2 hastada (%8.33) ilave injeksiyon gerekli oldu. Konjonktiva anestezisi oluşturmada peribulber anestezi daha üstündü. Peribulber anestezide daha sık görülen kemozis operasyonun seyrini etkilemedi. Anestezik madde injeksiyonunu takiben peribulber anestezide daha fazla olmak üzere (P<0.01) göziçi basınç artışı oluştu.Honan balonu uygulaması ile iki grupta da göziçi basıncı istenen seviyelere düşürüldü. Katarakt cerrahisinde yapılan lokal anestezide peribulber anestezinin daha etkili ve güvenli olduğu sonucuna varıldı.

Anahtar Kelimeler: Katarakt cerahisi, Peribulber anestezi, Retrobulber anestezi, Glob akinezisi
ABSTRACT
In fifty patients who were applied cataract surgery in Çarşamba city hospital between the dates december 1994 and november 1996; efficiency of peribulbar and retrobulbar anesthesia were compared . Peribulbar anesthesia were applicated in 26 patients and retrobulbar anesthesia were applicated in 24 patients. An absolute akinesia were attained in 20 (%76.92) of the patients who were applicated peribulbar anesthesia. An absolute akinesia were attained in 11 (%45.83) and reinjection were required in 2 (%8.33) patients who were applicated retrobulbar anesthesia. Peribulbar anesthesia was more effective in conjunctival anesthesia. Chemozis which was seen more frequent in peribulbar anesthesia hasn't affected to the progress of the operation. Intraocular pressure increase following the anesthetic substance injection was more frequent in peribulbar anesthesia (P<0.01). Application of the honan balloon has reduced the intraoculer pressure to the desired levels. We concluded that the peribulbar anesthesia in cataract surgery is more effective and reliable.

Keywords: Retrobulbar anesthesia, Peribulbar anesthesia, Intraocular pressure, Akinesia of globe

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