Odczucia bólowe pacjenta i komfort chirurga: ocena porównawcza zewnątrztorebkowego wydobycia i fakoemulsyfikacji zaćmy

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.