Suresh H. H1, Sneha Solse2, Supriya Patil3, Jyothi Patil4
AIM: To evaluate the outcome of manual small incision cataract surgery (MSICS) under topical anesthesia alone in patients at risk for local invasive anesthesia due to cardiac disease.
MATERIALS AND METHODS: A retrospective analysis of all patients with underlying cardiac disease and operated for cataract under topical proparacaine, was done. Data was analyzed for demographic variants, operative experience, intra- and postoperative complications, need of conversion to peribulbar block, visual outcome and effect of surgery on cardiac disease.
RESULTS: A total of 78 eyes of 60 patients with existing cardiac disease underwent manual small incision cataract surgery under topical anesthesia were analyzed. All patients underwent surgery without any major surgery related complications. No patient had complications related to IHD both intra- and early postoperative period.
CONCLUSION: MSICS under topical anesthesia with proparacaine is safe and effective for high risk patients with coexisting cardiac disease without any compromise in visual outcome.
