{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:21:01Z","timestamp":1787775661129,"version":"build-2784847793"},"reference-count":9,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"1","license":[{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"unspecified","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0"}],"content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>Abstract:<\/jats:title>\n                  <jats:sec>\n                    <jats:title>AIM:<\/jats:title>\n                    <jats:p>This study aimed to compare the effectiveness of bilateral versus unilateral topical anesthesia in cataract surgery, with emphasis on surgical comfort and efficiency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>In this prospective, randomized controlled study, 76 patients undergoing cataract surgery with phacoemulsification were divided into two groups: Group A received unilateral topical anesthesia, and Group B received bilateral topical anesthesia. The parameters assessed were intraoperative and postoperative pain scores, surgeon comfort score, total surgical time, and the need for supplemental anesthesia. Statistical analysis was performed to compare outcomes between the two groups.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The mean intraoperative pain scores were 0.92 \u00b1 1.25 in Group A and 0.73 \u00b1 1.35 in Group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.54). The mean postoperative pain scores were 4.784 \u00b1 1.054 in Group A 3.321 \u00b1 1.222 in Group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.66). The average surgical time was 10.54 \u00b1 2.33 min in Group A and 9.46 \u00b1 3.31 min in Group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.66). The surgeon\u2019s comfort score was 0.34 \u00b1 0.31 in Group A and 0.23 \u00b1 0.23 in Group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.34). Supplemental anesthesia was required in two patients from Group A, and one from Group B.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSIONS:<\/jats:title>\n                    <jats:p>Both bilateral and unilateral topical anesthesia provided similar levels of patient comfort, surgeon comfort, and procedural efficiency during cataract surgery. The choice between bilateral and unilateral topical anesthesia can be based on surgeon preference and specific patient needs, without significantly affecting surgical outcomes or efficiency.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ojo.ojo_417_24","type":"journal-article","created":{"date-parts":[[2026,2,27]],"date-time":"2026-02-27T19:00:07Z","timestamp":1772218807000},"page":"81-85","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":0,"title":["Comparative effectiveness of bilateral versus unilateral topical anesthesia in cataract surgery with hard grades of cataract by phacoemulsification technique: A focus on surgical comfort and efficiency"],"prefix":"10.4103","volume":"19","author":[{"given":"Rajesh Subhash","family":"Joshi","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Government Medical College, Akola, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Bhavesh","family":"Gurudasani","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Government Medical College, Akola, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Murtaza","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Government Medical College, Akola, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikhil","family":"Darade","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Government Medical College, Akola, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Riya Rajesh","family":"Joshi","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Smt. Shalinitai Meghe Institute of Medical Sciences, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2026,2,27]]},"reference":[{"key":"R1-20260302","doi-asserted-by":"crossref","first-page":"221","DOI":"10.4103\/0974-9233.114795","article-title":"A single drop of 0.5% proparacaine hydrochloride for uncomplicated clear corneal phacoemulsification","volume":"20","author":"Joshi","year":"2013","journal-title":"Middle East Afr J Ophthalmol"},{"key":"R2-20260302","first-page":"CD005276","article-title":"Topical anaesthesia plus intracameral lidocaine versus topical anaesthesia alone for phacoemulsification cataract surgery in adults","volume":"7","author":"Minakaran","year":"2020","journal-title":"Cochrane Database Syst Rev"},{"key":"R3-20260302","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1016\/j.mjafi.2020.12.017","article-title":"Comparison of changes in blood pressure in phacoemulsification cataract surgery performed via topical and peribulbar anaesthesia: A cohort study","volume":"79","author":"Singh","year":"2023","journal-title":"Med J Armed Forces India"},{"key":"R4-20260302","doi-asserted-by":"crossref","first-page":"1235","DOI":"10.1007\/s10792-017-0587-2","article-title":"Comparison of surgeon comfort assessment during phacoemulsification using bilateral topical anesthesia versus ipsilateral topical anesthesia: A randomized controlled study","volume":"38","author":"Mannan","year":"2018","journal-title":"Int Ophthalmol"},{"key":"R5-20260302","doi-asserted-by":"crossref","first-page":"670","DOI":"10.1136\/bjo.76.11.670","article-title":"A new local anesthesia technique for cataract extraction by one quadrant sub-Tenon's infiltration","volume":"76","author":"Stevens","year":"1992","journal-title":"Br J Ophthalmol"},{"key":"R6-20260302","doi-asserted-by":"crossref","first-page":"266","DOI":"10.4103\/2452-2325.329083","article-title":"Anterior subconjunctival anesthesia for manual small incision cataract surgery: A randomized controlled trial","volume":"33","author":"Ajay","year":"2021","journal-title":"J Curr Ophthalmol"},{"key":"R7-20260302","first-page":"296","article-title":"Advanced subconjunctival anesthesia for cataract surgery","volume":"7","author":"Wu","year":"2018","journal-title":"Asia Pac J Ophthalmol (Phila)"},{"key":"R8-20260302","doi-asserted-by":"crossref","first-page":"3840","DOI":"10.4103\/ijo.IJO_1553_22","article-title":"A comparison of sub-tenon block with peribulbar block in small-incision cataract surgery","volume":"70","author":"Antony","year":"2022","journal-title":"Indian J Ophthalmol"},{"key":"R9-20260302","doi-asserted-by":"crossref","first-page":"67","DOI":"10.4103\/tjosr.tjosr_12_18","article-title":"Comparison of peribulbar anesthesia with sub-tenon's in manual small incision cataract surgery","volume":"56","author":"Ashok","year":"2018","journal-title":"TNOA J Ophthalmic Sci Res"}],"container-title":["Oman Journal of Ophthalmology"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.ovid.com\/10.4103\/ojo.ojo_417_24","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T19:37:56Z","timestamp":1787773076000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.ovid.com\/10.4103\/ojo.ojo_417_24"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":9,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026]]}},"URL":"https:\/\/doi.org\/10.4103\/ojo.ojo_417_24","relation":{},"ISSN":["0974-620X","0974-7842"],"issn-type":[{"value":"0974-620X","type":"print"},{"value":"0974-7842","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2024-12-18","name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-01-24","name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}}]}}