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Comparison of Lidocaine Gel-Assisted Transconjunctival and Transcutaneous Local Anesthesia for Outpatient Eyelid Surgery.

Publication ,  Journal Article
Rafailov, L; Kulak, A; Weedon, J; Shinder, R
Published in: Ophthalmic plastic and reconstructive surgery
November 2015

Determine whether transconjunctival local anesthesia using 2% lidocaine gel decreases pain perception in comparison with transcutaneous anesthesia in patients undergoing outpatient eyelid surgery.This is a randomized controlled clinical trial. This study approved by an institutional review board and adhered to the Declaration of Helsinki and the Health Insurance Portability and Accountability Act. A total of 120 patients undergoing bilateral upper or lower eyelid surgery were enlisted. Topical 2% lidocaine gel was administered to the palpebral conjunctiva for 1 minute, followed by a local transconjunctival injection. Local anesthetic was administered to the contralateral eyelid by a transcutaneous approach without use of topical anesthetic. Both injections were 1 ml of 1% lidocaine with epinephrine 1:100,000 on a 30-gauge needle. After each injection, patients rated the pain on a 0-to-10 visual analog scale. Patients were also asked for preference between the 2 sides.The mean pain scores were 2.33 (standard deviation 0.98) for the transconjunctival side and 3.42 (standard deviation 0.88) for the transcutaneous side. The reduction in pain scores for lidocaine gel-treated sides was statistically significant (p < 0.001) when controlling for side of intervention, upper versus lower eyelid procedures, sex of participants, and type of procedure. In addition, 85% of participants found the transconjunctival injection to be less painful than the transcutaneous (p < 0.001).Transconjunctival local anesthesia in conjunction with topical anesthesia with 2% lidocaine gel provides a clinically and statistically significant decrease in perceived pain when compared with transcutaneous anesthesia in patients undergoing outpatient eyelid surgery.

Published In

Ophthalmic plastic and reconstructive surgery

DOI

EISSN

1537-2677

ISSN

0740-9303

Publication Date

November 2015

Volume

31

Issue

6

Start / End Page

470 / 473

Related Subject Headings

  • Pain Measurement
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Lidocaine
  • Humans
  • Gels
  • Female
  • Eyelid Diseases
  • Eye Pain
 

Citation

APA
Chicago
ICMJE
MLA
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Rafailov, L., Kulak, A., Weedon, J., & Shinder, R. (2015). Comparison of Lidocaine Gel-Assisted Transconjunctival and Transcutaneous Local Anesthesia for Outpatient Eyelid Surgery. Ophthalmic Plastic and Reconstructive Surgery, 31(6), 470–473. https://doi.org/10.1097/iop.0000000000000391
Rafailov, Leon, Amy Kulak, Jeremy Weedon, and Roman Shinder. “Comparison of Lidocaine Gel-Assisted Transconjunctival and Transcutaneous Local Anesthesia for Outpatient Eyelid Surgery.Ophthalmic Plastic and Reconstructive Surgery 31, no. 6 (November 2015): 470–73. https://doi.org/10.1097/iop.0000000000000391.
Rafailov L, Kulak A, Weedon J, Shinder R. Comparison of Lidocaine Gel-Assisted Transconjunctival and Transcutaneous Local Anesthesia for Outpatient Eyelid Surgery. Ophthalmic plastic and reconstructive surgery. 2015 Nov;31(6):470–3.
Rafailov, Leon, et al. “Comparison of Lidocaine Gel-Assisted Transconjunctival and Transcutaneous Local Anesthesia for Outpatient Eyelid Surgery.Ophthalmic Plastic and Reconstructive Surgery, vol. 31, no. 6, Nov. 2015, pp. 470–73. Epmc, doi:10.1097/iop.0000000000000391.
Rafailov L, Kulak A, Weedon J, Shinder R. Comparison of Lidocaine Gel-Assisted Transconjunctival and Transcutaneous Local Anesthesia for Outpatient Eyelid Surgery. Ophthalmic plastic and reconstructive surgery. 2015 Nov;31(6):470–473.

Published In

Ophthalmic plastic and reconstructive surgery

DOI

EISSN

1537-2677

ISSN

0740-9303

Publication Date

November 2015

Volume

31

Issue

6

Start / End Page

470 / 473

Related Subject Headings

  • Pain Measurement
  • Ophthalmology & Optometry
  • Middle Aged
  • Male
  • Lidocaine
  • Humans
  • Gels
  • Female
  • Eyelid Diseases
  • Eye Pain