procedure phacoemulsification cataract surgery under topical anesthsia?
156974
Phacoemulsification ("phaco") was developed in the search for a way to extract cataracts through a smaller incision. It has become the preferred technique for cataract extraction. An ultrasound or laser probe is used to break the lens apart without harming the capsule. These fragments are then aspirated out of the eye. A foldable intraocular lens (IOL) is then introduced through the 3mm incision. Once inside the eye, the lens unfolds to take position inside the capsule. Patients are fully conscious during the procedure and can have surprisingly colourful visual experiences. No sutures are needed, as the incision is self-sealing. The risk of astigmatism and sudden pressure changes inside the eye are minimized. The procedure is safe enough to be done under topical anesthesia (anesthetic eyedrops). Visual rehabilitation is extremely fast and patients don't need to suspend their everyday activities.
912741
It depends, mainly on the operation and the facilities and staff available in the operating department.\n\nThere are alternatives to a full endotracheal tube, like laryngeal mask airways and nasal airways but there are some risks involved in their use.\n\nThere are alternatives to a full general anaesthetic but often there are very good reasons, especially muscle depolorisation, which make it very much prefered for most surgery.\n\nIf you are concerned, talk to your surgeon but, in my humble opinion, it's perhaps considering whether you're risking the success of the operation to avoid some relatively mild discomfort.
646677
It's okay, my friend, I'm a nurse who used to work Head & Neck surgery/Otolaryngology.  I used to prep patients for this procedure and explain to them what to expect and what kind of after-care to do.  You're going to have endoscopy with a laryngoscope (laryngoscopy).  It's a fiberoptic scope with a small diameter.  It doesn't go down the throat, just to the pharynx but the doctor will be able to see your vocal cords.  First he/she will spray inside your nose with lidocaine, a local anesthetic.  You'll taste it at the back of your throat.  Doesn't taste great but no big deal.  The scope will then be introduced through the nose to avoid triggering the gag reflex.  The worst you can expect is mild discomfort but no real pain.  The entire procedure takes no more than 2 minutes and will probably take less.  Afterward, avoid eating and drinking for about 30 min. to give the effects of the lidocaine time to wear off.  Some it will have dripped down your throat and may have numbed it a little and we want to be sure your gag reflex is fully intact.  And that's it.  If your doc's scope has video capability you'll be able to watch.  Cool!  If you have any other questions or concerns, e-mail me at nurselmh@sbcglobal.net.
232603
if done properly and under proper aseptic conditions, followed with proper antibiotic cover etc cataract extraction should not hurt after the anesthesia wears off.
331070
I've had this done, and astigmatism fixed at the same time - ten years ago, though. Hurt a bit after the anaesthetic wore off, but the worst part was the smell of burning during the procedure!\n\nGreat vision for several years, but now need reading glasses. Some minor hazing around bright lights in the dark.\n\nIt worked for me but I'd never 'recommend' it to anyone else because experiences vary so widely - just a decision you have to take for yourself. I'm happy with the results... I can ski or swim and still see people!
366791
I had Lasik over a year ago.  And if I could re live it, I'd choose to do it, every single time.  Its worth every penny and any fears.  I wore glasses, than contacts for as long as I could remember, and it is about the most AMAZING feeling you can have, waking up the next day, opening your eyes and you can see everything.  And it is just that fast, the next day you can see!  The procedure itself... they put a clamp on your eye to keep it open, there's pressure, than depending on what machine and how much you're paying for the procedure, sometimes the doctors create your flap by hand, or its by machine... I had the machine do it.  There's a burning smell, not unlike burning hair.  Than they pull the flap back (you can see all this as its happenning) and than there's light.... than darkness.  Than you feel and see the doc using almost a mini paintbrush to put the flap back down.  Than its over.  Simple as that.  They do it one eye at a time, you're awake the whole time and its NOT painful.  There's a little pressure but that's it.  My clinic gave me a relaxant beforehand.  Total procedure takes NO MORE than 15 minutes!  Its amazing.  Its scary, I cried through my whole procedure.  But again, I would do it again if I had the choice.  Side effects: I work with computers and only took 4 days off work after the procedure... than was back starring at the screen... so they told me thats why I had headaches for two weeks after the procedure, but that's it!  The dry eye thing... I had dry eyes REALLY BAD for a whole year, a bottle of eye drops will be your new limb.  But now its gone!
833451
Not really a safe way to do it. It is really a last resort to a normal IV and an IO is a better option in my opinion. You risk air embolism with EJ. You must make sure it is well occlude after you do it and very secure. I am assuming you are asking for some type of class you are in. The actual procedure should be outlined somewhere in your text books. And I have only heard of the one way to do it.
733152
I wouldn't say that is painful. I haven't undergone such procedure, but some friends did and the expectation of the pain is normal psychological reaction, as every invasive method ( or non-invasive) is perceived as acutely by us. I would say that the risks in laser eye surgery, compared to many other ways of treatment as a whole and types of manipulations is relatively low and you shouldn't be scared.\nHope that is of help.\nHave a nice time!
169602
I've had relief from short sight (along with astigmatism) and tension in my eyes using ayurveda. Its effects were almost instant. Just a few hours. \nMaybe you wanna check it out.
928788
Under anaesthesia ,\nall voluntary and involuntary muscles relax .\n So you may well  become incontinent  at this time .\n\n also while  you are under anaesthesia, your  tongue  falls back and blocks the  air-way  and your cough reflex does not work either \n so you would  choke or drown , without expert care ..\n\n That is why you  will always have, highly trained staff  there to keep your airway clear. etc \n\nIf you have any concerns, regarding anaesthesia , tell the Surgeon before  you have surgery, to explain, what is done, for your care and safety .\n\n>^,,^<
682428
I hope your daughter recovers soon.  \n\nThe outlook on recovery from eye injuries is good: one in five patients with a ruptured eye globe, a serious injury, may continue to have excellent vision and no apparent signs of perforation.\n\nPostoperative management includes preventing infection, suppressing inflammation and controlling pain. \n\nAlthough no data exist supporting the use of systemic antibiotics after an open globe injury, it's common practice to administer three days of IV antibiotics, followed by 11 days of oral antibiotics. Oral ciprofloxacin has been shown to cross an intact blood-vitreous barrier in appreciable concentrations.\n\nDaily follow-up should include determination of visual acuity, IOP and wound integrity and configuration of the retina (by ultrasound if it isn't visible). If needed, the patient should be referred to a vitreoretinal specialist. Close attention should be paid to corneal wounds, as they can leak when corneal edema decreases. \n\nFollow-up also should include counseling. It's often necessary to repeat conversations that occurred before the operation, as patients and families forget what was said in the hectic, stressful setting of preparation for emergency surgery. Advice from social workers and spiritual support, if appropriate, often are helpful. \n\nIf there is no hope of visual recovery in the injured eye, the initial postoperative phase is a good time to remind the patient and family about the risk of sympathetic ophthalmia. At this institution, it's often the practice to have the patient sign a statement documenting his or her understanding of the risk and choice not to proceed with enucleation, should that be the decision. Finally, polycarbonate glasses must be prescribed, and the patient must be urged to wear them at all times.
116399
http://www.medformation.com/ac/crsaha.nsf/file/crs-aha-art.eyedrop
205088
I have not, but am a nurse.  The postoperative pain should be only at the venipuncture site..and should be minimal.  Very short recovery period.  They should watch the patient for chest pain, and will probably do a stress test, to make sure the vessel is open.
670946
Get checked for cataracts.
416646
Hi,I am a dental hygienist.Most of the time your dentist or hygienist will administer a local anesthetic.If your scaling is not too involved they may use a strong topical anesthetic such as oraquix.The main thing is to make sure and let your dentist or hygienist know if you need more anesthetic.Most of my patients just need advil or another nsaid after scaling.I have my patients premedicate with 2 advil 1 hour before the visit and then take 2 more while their mouth is still numb then every 4-6 hours after.It is not a tough procedure usually,you will do fine.If you are still nervous you can ask for nitrous oxide(laughing gas) or premedication with a sedative such as valium or ativan.
273451
There was a segment on Good Morning America last week. Dr. Tim Johnson (a candidate for the procedure himself) discussed it. A laser catheter is inserted through the thigh (like angioplasty) and the muscles above the atrium are "zapped" to prevent their irregular spasms. My cousin had it done, and it worked for her. I looked on ABC's website but I couldn't find aynthing. Talk to your cardiologist.
231557
Not at all.  Most eye surgery is done under a "local" anesthetic, so the patient is not unconscious during surgery.  I know that sounds yucky, but first the patient is tranquilized, so even though he/she is "awake", the patient is very "relaxed". The eye is clamped open, (yes, just like in the horror movies), a local anesthetic is applied to the eye and surgery begins....but...no pain at all, and usually absolutely no memory of the procedure. \n\nMy guess is you are having cataract surgery?  Truly, it is a piece of cake, an in office procedure most of the time, and absolutely no pain.\n\nGood Luck!\n\n"I'm not a physician, but I play one on TV."