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Comparison between cataract surgery under local versus general anesthesia regarding postoperative pain, complications and patient satisfaction and need for rescue analgesic intake after surgery The results will be followed up at 24 hrs, 1 week and after one and half month following the surgery.
This prospective randomized controlled study will be carried out on 50 adult patients. Written informed consent will be taken from all prospective cases.
The cases will be selected having (ASA1), (ASA II) or (ASA III) physical status in the age range between 20 and 70 years old with cataract eye disease.
This study will be performed in Alexandria Main University Hospital, Egypt. Patients will be followed up at 24 hours, 1 week, and 6 weeks after surgery.
The following measurements will be recorded
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Group under general anesthesia for cataract surgery | Active Comparator | Patients undergoing cataract surgery will receive general Anaesthesia using intravenous injection and inhalational anaesthetics |
|
| Group under topical anaesthesia | Active Comparator | Patients will receive topical anaesthesia for cataract surgery |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Topical Anaesthesia group | Drug | This group of patients will only receive topical anaesthesia for Cataract surgery |
|
| Measure | Description | Time Frame |
|---|---|---|
| Post operative pain | Postoperative pain will be assessed using the Visual Analogue Scale (VAS), ranging from 0 (no pain) to 10 (worst pain imaginable). | At 24 hours, one week and 6 weeks following surgery |
| Measure | Description | Time Frame |
|---|---|---|
| 1-complications after surgery 2-Patient satisfaction will be measured using the IOWA Satisfaction with Anaesthesia Scale (ISAS), which ranges from 6 (very satisfied) to 3 or less (dissatisfied). | Complications including hypotension, nausea and allergic reaction will be assessed after surgery and 24 hours later. satisfaction assessment will evaluate patient safety, pain control, comfort, nausea, interaction with the surgical team, willingness to repeat the anaesthetic, and relaxation during and after surgery. Patient satisfaction will be recorded at one week and six weeks postoperatively. |
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Inclusion Criteria:
- Patients with unilateral cataract planned for surgery under topical or general anesthesia
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Radwa S Raslan, PHD | AMUH | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Faculty of Medicine | Alexandria | Egypt |
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| General Anaesthesia group | Drug | General Anaesthesia will be given to this group undergoing cataract surgery |
|
| Up to 6 weeks |
| ID | Term |
|---|---|
| D002386 | Cataract |
| ID | Term |
|---|---|
| D007905 | Lens Diseases |
| D005128 | Eye Diseases |
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| ID | Term |
|---|---|
| D044382 | Population Groups |
| ID | Term |
|---|---|
| D003710 | Demography |
| D011154 | Population Characteristics |
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