JOURNAL COVER PAGE
 
 
 
 
VOLUME 8,ISSUE 2
April - June 2019
 
Abstract

Proparacaine Hydrochloride 0.5 % as a sole topical anesthetic agent in primary pterygium surgery with autologous conjunctival graft: Our experience at tertiary care center,Vadodara

Aparna Kekan , Suhani S. Nayak 

1 MS (Ophth), Assistant Professor, Parul Institute of Medical Sciences & Research, Vadodara
2 MS (Ophth), Senior Resident, Parul Institute of Medical Sciences & Research, Vadodara

ABSTRACT

BACKGROUND AND OBJECTIVES: This study aims to evaluate efficiency of Proparacaine Hydrochloride 0.5% as a sole anesthetic agent in primary pterygium excision surgery with glue free conjunctional autograft at tertiary care center in Vadodara. METHODS: A prospective, non-randomized interventional study comprising 42 patents (42 eyes) having primary pterygium was conducted at tertiary care center in Vadodara, Gujarat.Pterygium excision with glue free autologous conjunctival grafting done under 0.5% proparacaine (Paracaine) eyedrops.The visual analogue scale (VAS) was utilized to record intra and post-operative pain score. Patient’s comfort, intra and post operative painperceived by patients, supplementalanesthesia, complications and surgeon’s comfort noted. Anesthetist also noted vital parameters and any intravenous drugs required. RESULTS: No difference between intra and post-operative pain score (P=0.37) was observed in patients. The average surgical time from was 24.05 ± 2.05 minutes. 1 score was observed in 28 patents (66.66%). The average surgeon’s discomfort score was 1.45 ± 0.59. CONCLUSION: Primary thin atrophic pterygium surgery with autologous conjunctival graft can be performed successfully using 0.5% proparacaine Hydrochloride eyedrops. The ease of application, lack of ocular surface toxicity and sufficient anesthetic effect to complete the surgery make it an efficient & alternative modality to injectable anesthesia.

Keywords: Conjunctival Graft, Pterygium,VAS


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