{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T20:22:17Z","timestamp":1787775737135,"version":"build-2784847793"},"reference-count":20,"publisher":"Ovid Technologies (Wolters Kluwer Health)","issue":"2","content-domain":{"domain":["lww.com","ovid.com"],"crossmark-restriction":true},"short-container-title":[],"published-print":{"date-parts":[[2024,5]]},"abstract":"<jats:sec>\n                    <jats:title>PURPOSE:<\/jats:title>\n                    <jats:p>The purpose was to study the safety and efficacy of sub-Tenon and subconjunctival anesthesia in manual small-incision cataract surgery (MSICS) in patients with hard-grade cataracts.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>STUDY DESIGN:<\/jats:title>\n                    <jats:p>The design of the study was a prospective, observational, and randomized control study.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>MATERIALS AND METHODS:<\/jats:title>\n                    <jats:p>A total of 196 eyes, including 98 eyes in the subconjunctival anesthesia group (group A) and 98 eyes in the sub-Tenon anesthesia group (Group B), undergoing MSICS were enrolled in the study. A single surgeon performed all the surgeries. Intraoperative and postoperative pain scores, patient comfort, surgeon\u2019s satisfaction, and intraoperative complications were examined.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>RESULTS:<\/jats:title>\n                    <jats:p>\n                      The mean age of patients in Group A was 66.64 \u00b1 9.95 years and that of patients in Group B was 64.52 \u00b1 9.46. No statistically significant difference was noted in the intraoperative (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.54) and postoperative pain (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.66) scores between the two groups. There was no pain (0 score) in 30% of patients in Group A and 35% of patients in Group B intraoperatively. The average surgical time (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.66) and surgeon\u2019s comfort (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.34) were not statistically significant. The mean corneal haze was 0.054 \u00b1 0.12 in group A and 0.065 \u00b1 0.22 in group B (\n                      <jats:italic toggle=\"yes\">P<\/jats:italic>\n                      = 0.45). Two patients in group A required supplemental anesthesia. There were no surgical complications that could compromise visual outcomes. No patients in either group showed alterations in vital parameters or required intravenous sedation.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>CONCLUSION:<\/jats:title>\n                    <jats:p>Both techniques of anesthesia are safe and effective for performing MSICS in hard-grade cataracts. However, it is prudent to choose a technique according to the surgeon\u2019s requirements.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.4103\/ojo.ojo_7_23","type":"journal-article","created":{"date-parts":[[2024,6,27]],"date-time":"2024-06-27T01:01:38Z","timestamp":1719450098000},"page":"181-186","update-policy":"https:\/\/doi.org\/10.1097\/lww.0000000000001000","source":"Crossref","is-referenced-by-count":2,"title":["Study of safety and efficacy of sub-Tenon and subconjunctival anesthesia in manual small-incision cataract surgery for hard-grade cataracts"],"prefix":"10.4103","volume":"17","author":[{"given":"Rajesh Subhash","family":"Joshi","sequence":"first","affiliation":[{"name":"Department of Ophthalmology, Government Medical College, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pranshu","family":"Goel","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Government Medical College, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Pallavi","family":"Doble","sequence":"additional","affiliation":[{"name":"Department of Ophthalmology, Government Medical College, Nagpur, Maharashtra, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"276","published-online":{"date-parts":[[2024,6,27]]},"reference":[{"key":"R1-20260507","doi-asserted-by":"crossref","first-page":"965","DOI":"10.1016\/j.ophtha.2006.08.057","article-title":"Why do phacoemulsification? 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