Comparison Between 2% Lidocaine Gel and 5% Tetracaine Eye Drop as Topical Anesthesia in Phacoemulsification
Study Details
Study Description
Brief Summary
This study aimed to compare the efficacy between 2% lidocaine gel vs 0.5% tetracaine eye drop as topical anesthesia in phacoemulsification
Condition or Disease | Intervention/Treatment | Phase |
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N/A |
Detailed Description
Approval from Ethical Committee of Faculty of Medicine Universitas Indonesia was acquired prior conducting the study. Subjects were given informed consent before enrolling the study and randomized into two groups (Lidocaine gel and tetracaine eye drop group). Lidocaine group received 2% lidocaine gel in 1 ml syringe, applied to the eye. Tetracaine group received 0.5% tetracaine eye drop. Topical anesthesia was given 5 minutes before phacoemulsification. Five minutes after phacoemulsification finished, visual analog score (VAS) and subjects and surgeon's satisfaction were assessed. Every additional topical anesthesia needed was recorded.
Study Design
Arms and Interventions
Arm | Intervention/Treatment |
---|---|
Active Comparator: lidocaine gel Lidocaine gel group: received 2% lidocaine gel in 1 ml syringe, applied to the eye 5 minutes before phacoemulsification |
Drug: lidocaine gel
2% lidocaine gel in 1 ml syringe, applied to the eye 5 minutes before phacoemulsification
|
Active Comparator: tetracaine eye drop Tetracaine eye drop group: received 0.5% tetracaine eye drop 5 minutes before phacoemulsification |
Drug: tetracaine eye drop
0.5% tetracaine eye drop was given 5 minutes before phacoemulsification
|
Outcome Measures
Primary Outcome Measures
- Visual analog scale [Day 1]
assessing subject's pain with visual analog scale
Secondary Outcome Measures
- Additional topical anesthesia requirement [Day 1]
Number of additional topical anesthesia given after the first dose
- Subjects and surgeon's satisfactory [Day 1]
Assessment is done using questionnaire
Eligibility Criteria
Criteria
Inclusion Criteria:
- patients aged more than 40 years old who were planned to undergo elective phacoemulsification with intraocular lens implantation at operating room. The surgery was operated by an experienced ophthalmologist. Subjects had been explained about the study, and agreed to enroll and have signed the informed consent form.
Exclusion Criteria:
- Subjects with history of allergy to topical anesthesia (2% lidocaine gel and 0.5% tetracaine eye drop), subjects who used another method of intraoperative anesthesia other than topical anesthesia, subjects with history of phacoemulsification before, subjects with difficulty in communication, dementia, and anxiety.
Dropout Criteria:
- Phacoemulsifications duration more than 30 minutes, and subjects who resigned from the study before the study ended
Contacts and Locations
Locations
Site | City | State | Country | Postal Code | |
---|---|---|---|---|---|
1 | Cipto Mangunkusumo Central National Hospital | Jakarta | Indonesia | 10430 |
Sponsors and Collaborators
- Indonesia University
Investigators
None specified.Study Documents (Full-Text)
None provided.More Information
Publications
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- Irle S, Lückefahr MH, Tho Seeth T. [Tetracaine drops versus lidocaine gel for topical anaesthesia in cataract surgery]. Klin Monbl Augenheilkd. 2003 Sep;220(9):625-8. German.
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- Shiroma HF, Shimono KE, Farah ME, Goldhardt R, Grumann A Jr, Rodrigues EB. Comparative Study Between Lidocaine Gel 2% and 5% for Ophthalmic Procedures. J Ocul Pharmacol Ther. 2016 May;32(4):192-5. doi: 10.1089/jop.2015.0002. Epub 2016 Jan 20.
- Soliman MM, Macky TA, Samir MK. Comparative clinical trial of topical anesthetic agents in cataract surgery: lidocaine 2% gel, bupivacaine 0.5% drops, and benoxinate 0.4% drops. J Cataract Refract Surg. 2004 Aug;30(8):1716-20.
- Tsoumani AT, Asproudis IC, Damigos D. Tetracaine 0.5% eyedrops with or without lidocaine 2% gel in topical anesthesia for cataract surgery. Clin Ophthalmol. 2010 Sep 7;4:967-70.
- Waheeb S. Topical anesthesia in phacoemulsification. Oman J Ophthalmol. 2010 Sep;3(3):136-9. doi: 10.4103/0974-620X.71892.
- IndonesiaUAnes015