Using Topical Anesthesia for Standing Phacoemulsification Cataract Surgery and Intraocular Lens Implantation

DOI: 10.4236/ss.2012.35056   PDF   HTML   XML   3,853 Downloads   5,879 Views  


Introduction: To report by using topical anesthesia for standing phacoemulsification and intraocular lens implantation for two patients who need cataract extraction but unable to lie flat with marked cervical kyphosis due to long-standing ankylosing spondylitis and chronic uveitis. Methods: Two patients are unable to lie flat respectively during phacoemulsification underwent this technique in Jingdong and Tonghai county Hospital of Yunnan province in China. Each patient was positioned erect or semirecumbent in a standard reclining cataract surgical chair. The ceiling-mounted microscope was rotated 60 degrees from the vertical to point toward the patient. Results: The intraoperative and postoperative periods were uneventful in two patients, with good visual outcomes after surgery. Conclusion: This technique is valuable for situations where the patient requires upright positioning because of the inability to recline flat, and should be considered for cases where standard surgical positioning is not possible.

Share and Cite:

R. Wu, Q. Zheng and W. Li, "Using Topical Anesthesia for Standing Phacoemulsification Cataract Surgery and Intraocular Lens Implantation," Surgical Science, Vol. 3 No. 5, 2012, pp. 279-281. doi: 10.4236/ss.2012.35056.

Conflicts of Interest

The authors declare no conflicts of interest.


[1] S. Prasad, G. G. Kamath and R. P. Phillips, “Phacoemulsification in a Patient with Marked Cervical Kyphosis,” Journal of Cataract & Refractive Surgery, Vol. 26, No. 8, 2000, pp. 1258-1260. doi:10.1016/S0886-3350(00)00596-4
[2] A. M. Mansour and M. Al-Dairy, “Modifications in Cataract Surgery for the Morbidly Obese Patient,” Journal of Cataract & Refractive Surgery, Vol. 30, No. 11, 2004, pp. 2265-2268. doi:10.1016/j.jcrs.2004.02.088
[3] S. Rimmer and K. M. Miller, “Phacoemulsification in the Standing Position with Loupe Magnification and Headlamp Illumination,” Journal of Cataract & Refractive Surgery, Vol. 20, No. 3, 1994, pp. 353-354.
[4] G. S. Ang, J. M. Ong and T. Eke, “Face-to-Face Seated Positioning for Phacoemulsification in Patients Unable to Lie Flat for Cataract Surgery,” American Journal of Ophthalmology, Vol. 141, No. 6, 2006, pp. 1151-1152. doi:10.1016/j.ajo.2006.01.036
[5] T. Stupp, I. Hassouna, K. Soppart, S. Thanos and W. F?rster, “Systemic Adverse Events: A Comparison between Topical and Peribulbar Anesthesia in Cataract Surgery,” Ophthalmologica, Vol. 221, No. 5, 2007, pp. 320-325. doi:10.1159/000104762
[6] C. Liu, “Phacoemulsification in a Patient with Torticollis,” Journal of Cataract & Refractive Surgery, Vol. 21, No. 4, 1995, p. 364.
[7] I. H. Fine, R. S. Hoffman, S. Binstock, “Phacoemulsification Performed in a Modified Waiting Room Chair,” Journal of Cataract & Refractive Surgery, Vol. 22, No. 10, 1996, pp. 1408-1410.

comments powered by Disqus

Copyright © 2020 by authors and Scientific Research Publishing Inc.

Creative Commons License

This work and the related PDF file are licensed under a Creative Commons Attribution 4.0 International License.