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Journal of Ophthalmology
Volume 2014, Article ID 237028, 5 pages
Research Article

A Comparison of Topical or Retrobulbar Anesthesia for 23-Gauge Posterior Vitrectomy

1Ophthalmology Clinic, Marmara University School of Medicine, 34899 Istanbul, Turkey
2Ophthalmology Clinic, Kocaeli University School of Medicine, 41100 Kocaeli, Turkey

Received 1 July 2014; Revised 8 October 2014; Accepted 24 October 2014; Published 18 November 2014

Academic Editor: Tamer A. Macky

Copyright © 2014 Hande Celiker et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


Background. To compare the efficacy and safety of topical anesthesia versus retrobulbar anesthesia in 23-gauge vitreoretinal surgery. Materials and Methods. A total of 63 patients scheduled for 23 G posterior vitrectomy without scleral buckling procedures were included in the study. The patients were randomly assigned to receive either topical (Group 1, ) or retrobulbar anesthesia (Group 2, ). Postoperatively, patients were shown a visual analogue pain scale (VAPS) from 1 (no pain or discomfort) to 4 (severe pain or discomfort) to rate the levels of pain. Results. There was more discomfort in patients in Group 2 while anesthetic was administered (Group 1:  , Group 2: , ). Between the two groups the level of pain during surgery (Group 1: , Group 2: ; ) was noted. There was also no significant difference between two groups postoperatively (Group 1: , Group 2: ; ). There were no complications in either group related to the anesthetic technique. No patient needed sedation or anesthesia supplement during the surgery or postoperative period. Conclusion. Topical anesthesia in posterior vitrectomy procedures is an effective and safe method that is alternative to retrobulbar anesthesia.