Abstract :
There has been a significant evolution in surgical technique of cataract extraction in last few decades. Likewise evolution of the anaesthesia has varied from general anaesthesia to regional blocks and now topical anaesthesia (TA). With the advent of phacoemulsification, cataract surgeries using TA has become a reality and routine. The advantages are many, for the patients as well as for the surgeon. Topical anaesthesia saves the patients from the risks of globe perforations, optic nerve injury, and life threatening respiratory arrest and above all, the pain and fear perceived because of the peribulbar or retrobulbar injections. If TA for phacoemulsification is safe in experienced hands, it should be safe for small incision cataract surgery (SICS). Although, it might require certain modifications in SICS like no superior rectus stitch, conjunctival flap or cautery. Therefore TA can be an effective option for modified SICS in suitable patients.
Keyword :
Topical anaesthesia, Small incision cataract surgery