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1 Tishreen University Journal. Med. Sciences Series Tishreen University Journal for Research and Scientific Studies - Medical Sciences Series Vol. (30) No. (٣) 008 * ** *** 008 * * * *** 01
2 Tishreen University Journal for Research and Scientific Studies - Medical Sciences Series Vol. (30) No. (٣) 008 A Clinical Comparison between Retrobulbar and Peribulbar Anaesthesia in Cataract Operations, AlAssad Hospital Experience (007) Prof. Abdulkader Taataa * Dr. Habeeb Yousuf ** Sami Imam *** (Received 0 / 5 / 008. Accepted 30/6/008) Abstract Thirty two patients having extracapsular cataract surgery with IOL transplantation were evaluated in a prospective randomized study comparing retrobulbar and peribulbar anaesthesia. Patients were divided into two study groups and evaluated on three critical criteria in ophthalmic surgery, namely: sensory anaesthesia, akinesia and sufficient anaesthesia period. The results showed that the efficacy of the peribulbar block was similar to that of the retrobulbar block for all three criteria. Because peribulbar anesthetic is administered outside the muscle cone, the potential for optic nerve, central nervous system and eye ball complications should be minimized. Key words: Peribulbar anaesthesia, retrobulbar anaesthesia, cataract surgery. * Professor Department of ophthalmology Faculty of medicine Tishreen University Lattakia Syria. ** Asststant professor Department of ophthalmology Faculty of medicine Tishreen University Lattakia-Syria. *** Postgraduate student Department of ophthalmology Faculty of medicine Tishreen University Lattakia-Syria. 0
3 Tishreen University Journal. Med. Sciences Series [,8,9] [ ] Retrobulbar [ ] Peribulbar Randomized Prospective Study 7 03
![] Retrobulbar [ ] Peribulbar](/docs-images/49/17011381/images/page_3.jpg "Randomized Prospective Study 7")
4 مرضى التخدیر خلف المقلة مرضى التخدیر حول المقلة إناث %٣٣ ذكور %٦٧ إناث %٤١ ذكور %٥٩ خلف المقلة حول المقلة سنة > 70 7% سنة 50 13% سنة > 70 4% سنة 50 6% سنة % سنة % سنة % سنة % Phenylephrene Tropicamide 04
5 Tishreen University Journal. Med. Sciences Series Phenergan Phentanyl Atropine [ ] Van lint s Lidocaine G [ ] G Bupivacaine [ ] 05
![Phentanyl Atropine [ ] Van lint](/docs-images/49/17011381/images/page_5.jpg "s Lidocaine G [ ] G Bupivacaine")
6 Global Akinesia عدم ارتیاح تطلب قطرة مخدر موضعي عدم ارتیاح شدید تطلب إعادة التخدیر بالحقن المجموع خلف المقلة حول المقلة لا یوجد إحساس إحساس بدون الم
7 Tishreen University Journal. Med. Sciences Series خلف المقلة حول المقلة تام ) لا حركة ( حركة خفیفة لم تعق الجراحة حركات معیقة تطلبت إعادة التخدیر بالحقن المجموع 0 07
8 08
9 Tishreen University Journal. Med. Sciences Series j E n O 09
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11 Tishreen University Journal. Med. Sciences Series H0 H1 M1 M H0 : M1 M = 0 H1 : M1 M 0 n1 = 17 n = 15 = 7.35 = 6.93 = 0.81 =
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13 Tishreen University Journal. Med. Sciences Series [1] VARVINSKI, A. M. ; ELTRINGHAM, R. Anaesthesia for ophthalmic surgery part 1 regional techniques. Update in anaesthesia, UK, Issue 6, Article 3, 006. < > [] AMERICAN ACADEMY OF OPHTHALMOLOGY. Basic and clinical science course section 11. USA, 004, 57. [3] SOBOTTA, J. Atlas of human anatomy section3. 17 th edition, Urban & Schwarzenberg, Germany, 1974, 353. [4] KANSKI, J. J. Clinical ophthalmology a systemic approach. 5 th edition, Butterworth Heinemann, UK, 004, 733. [5] MURDOCH, I. E. Peribulbar versus retrobulbar anaesthesia. Eye, UK, 4, 1999, [6] WHITSETT, J. C. ; BALYEAT, H. D. ; McCLURE, B. Comparison of one-injectionsite peribulbar anesthesia and retrobulbar anesthesia. Journal of cataract and refractive surgery, USA, 16(4), 1990, [7] ARAB MEDICAL UNION ; WORLD HEALTH ORGANISATION. Unified medical dictionary [8] MARQUES-GONZALEZ, A. ; ONRUBIA-FUERTES, X. ; BELLVER-ROMERO, J. ; SELLER LOSADA, J. M. ; PERTUSA-COLLADO, V. ; BARBERA-ALACREU, M. Intracranial diffusion a complication of retrobulbar anesthesia. Revista Espanola de anestesiologia y reanimacion, Spain, 44(7), 1997, [9] DAVIS, D. B. ; MANDEL, M.R. Efficacy and complication rate of 16,4 consecutive peribulbar blocks A prospective multicenter study. Journal of cataract and refractive surgery, USA, 0(3), 1994, [10] ROMAN, S. ; AUCLIN, F. ; ULLERN, M. Topical versus peribulbar anesthesia in cataract surgery. Journal of cataract and refractive surgery, USA, (8), 1996,
![USA, 004, 57. [3] SOBOTTA, J. Atlas of human anatomy section3. 17 th edition, Urban & Schwarzenberg, Germany, 1974, 353. [4] KANSKI, J. J. Clinical ophthalmology a systemic approach.](/docs-images/49/17011381/images/page_13.jpg "5 th edition, Butterworth Heinemann, UK, 004, 733. [5] MURDOCH, I. E. Peribulbar versus retrobulbar anaesthesia. Eye, UK, 4, 1999, 445-9. [6] WHITSETT, J. C. ; BALYEAT, H. D. ; McCLURE, B.")
14 14
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