Mohammad Alam, Lal Mohammad, Mohammad Idrees.
Analysis of Four Point Score Scale for Pain Assessment in Phacoemulsification under Topical Anesthesia - Proparacaine.
Ophthalmol Update Jan ;16(2):582-4.

Background: For cataract surgery, different types of anesthesia are used. This study was conducted to analyze four point score scale for pain in phacoemulsification under topical anesthesia (proparacaine). Materials and Methods: This analytical study was conducted on patients undergoing cataract surgery with phacoemulsification under topical anesthesia Proparacaine (Alcaine) in K.D.A Teaching Hospital Kohat from January, 2016 to December, 2016. 60 patients with age related cataract were selected. Out of them 34 (56.66%) were male and 26 (43.33%) were female. All the patients were in the age range from 53 to 77 years with mean age of 64.6% years. Pupils of patients were dilated properly with tropicamide 1% eye drop. All the patients were operated under topical anesthesia after instillation of 4 drops of alcaine at interval of two minutes into the eyes. Phacoemulsification with intraocular lenses implantation was carried out on all patients and four points score scale for pain was analyzed. Result: Out of 60 patients 47 (78.33%) had score 0. 3(5%) patients had score I, 2 (3.33%) patients had score 2, 3(5%) patient had score 3 while 5 (8.33%) patients had score 4. Conclusion: Topical anesthesia is very effective in phacoemulsification preventing complications of other invasive anesthesia.

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