Please use this identifier to cite or link to this item: http://hdl.handle.net/2381/38099
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dc.contributor.authorLee, Richard M.-
dc.contributor.authorThompson, John R.-
dc.contributor.authorEke, Tom-
dc.date.accessioned2016-09-26T13:43:08Z-
dc.date.available2016-09-26T13:43:08Z-
dc.date.issued2015-09-24-
dc.identifier.citationBritish Journal of Ophthalmology, 2016, 100 (6), pp. 772-776en
dc.identifier.urihttp://bjo.bmj.com/content/100/6/772en
dc.identifier.urihttp://hdl.handle.net/2381/38099-
dc.description.abstractBACKGROUND: Recent years have seen a major change in practice of local anaesthesia (LA) for cataract surgery. AIMS: (1) To estimate current usage of LA techniques for cataract surgery, (2) to estimate the incidence of severe adverse events associated with each LA technique, (3) to compare with our previous 2003 study. METHODS: This was a prospective, observational study of routine practice. For 13 months in 2012-2013, the British Ophthalmological Surveillance Unit sent monthly mailings to all senior British ophthalmologists, asking for reports of 'potentially sight-threatening or life-threatening complications of LA for cataract surgery'. Current practice was assessed by questionnaire. RESULTS: Cataract surgery comprised 3.4% general anaesthesia, 92.5% LA alone and 4.1% LA with sedation. Techniques for the estimated 357 000 LA cataracts were: 8.8% peribulbar, 1.3% retrobulbar, 50.5% sub-Tenon's, 1.4% subconjunctival, 13.8% topical, 24.2% topical-intracameral LA. Severe sight-threatening complications included seven globe perforations, one cilioretinal artery occlusion and one severe corneal oedema. Severe life-threatening complications included one profound vasovagal episode, one silent myocardial infarction, one anaphylactic reaction and one supraventricular tachycardia. Under-reporting means that more complications probably occurred. CONCLUSIONS: There has been a large swing towards 'non-injection' LA in recent years. Serious adverse events were reported with all techniques except topical-intracameral and subconjunctival LA, though the incidence appears lower for 'non-injection' LA.en
dc.language.isoenen
dc.publisherBMJ Publishing Groupen
dc.relation.urihttp://www.ncbi.nlm.nih.gov/pubmed/26405103-
dc.rightsCopyright © the authors, 2016. This article is distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License (http://creativecommons.org/licenses/by-nc-nd/4.0/ ), which permits use and distribution in any medium, provided the original work is properly cited, the use is non-commercial and no modifications or adaptations are made.en
dc.subjectAnterior chamberen
dc.subjectDrugsen
dc.subjectTreatment Surgeryen
dc.titleSevere adverse events associated with local anaesthesia in cataract surgery: 1 year national survey of practice and complications in the UKen
dc.typeJournal Articleen
dc.identifier.doi10.1136/bjophthalmol-2015-307060-
dc.identifier.eissn1468-2079-
dc.identifier.piibjophthalmol-2015-307060-
dc.description.statusPeer-revieweden
dc.description.versionPost-printen
dc.type.subtypeJournal Article-
pubs.organisational-group/Organisationen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGYen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicineen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/School of Medicine/Department of Health Sciencesen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themesen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themes/Genome Scienceen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themes/Neuroscience & Behaviouren
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themes/Populationen
pubs.organisational-group/Organisation/COLLEGE OF MEDICINE, BIOLOGICAL SCIENCES AND PSYCHOLOGY/Themes/Respiratory Scienceen
dc.dateaccepted2015-08-27-
Appears in Collections:Published Articles, Dept. of Health Sciences

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