Operating a cataract patient under topical Anesthesis is a chalanging experience. Prof Sanjiv gupta, faculty , KGMU, Lucknow is sharing his experience of operating patients in different situations.
Disclosure: No financial interest
Can MSICS be done under topical anesthesia
Manual small incision cataract surgery is one of the two most popular methods of rehabilitation of patients suffering from visual problems due to cataracts.
Studies have proven its superiority in terms of endothelial cell protection when compared to phacoemulsification surgery.
Performing cataract surgery using Manual Small Incision Cataract (MSICS) under topical anesthesia improves the patient’s experience and safety.
\The video discusses the issues related to switching to topical anesthesia for MSICS.
Manual small incision cataract surgery under topical anesthesia.
The two most popular options for cataract treatment are Phacoemulsification surgery and Manual Small Incision Cataract Surgery (MSICS).
Which of these techniques is better can be an everlasting debate but for the patient, Phacoemulsification can be a preferred choice because it is routinely done under topical anesthesia.
Here we have demonstrated that MSICS also can be done under topical anesthesia, thus narrowing the gap between these two options for cataract treatment.
Topical MSICS
Manual small incision cataract surgery (MSICS) done under topical anesthesia.
Use of topical anesthesia means that there are no injections given and there is no need to patch the eye after the surgery.
MSICS is a very cost effective alternative to Phacoemulsification done for cataract suregry with comparable results.
Phaco in a mentally challanged person under topical anesthesia
The video does not claim to replace GA for such situations but rather it shows that the procedure is painless to the extent that even such patients can cooperate and tolerate the procedure well.
Cataract surgery under topical anesthesia (i.e. without injection to anesthetize the eye) is a standard in adults. However, uncooperative adults or children are routinely operated under general anesthesia.
This video demonstrates the use of topical anesthesia in one such patient who was mentally challenged and afraid of the procedure.