Advancements in Temporal Clear Corneal Incision Under Topical Anesthesia for MSICS
Dr. Shakeen Singh from Sri Guru Ram Dass Institute of Medical Sciences & Research discusses the efficacy and safety of temporal clear corneal incision (TCCC) in manual small incision cataract surgery (MSICS) using topical anesthesia. Highlighting historical milestones in anesthesia, including the pioneering use of cocaine by Freud and Koller, the paper outlines the advantages of TCCC over traditional infilterative techniques. These include reduced complications, better surgical exposure, and ease of nucleus delivery, making TCCC an ideal choice for bulk surgeries in developing nations.
Advancements in Temporal Clear Corneal Incision Under Topical Anesthesia for MSICS
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Presentation Transcript
GOLDEN TEMPLE INSTITUTE
Temporal Clear Corneal SICSUnder proparacain . Author Dr. Shakeen Singh Sri Guru Ram Dass Institute of Medical Sciences & Research, Amritsar.
Every surgical effort upon eyeball is to analyze and decide the BEST suitable for its ultimate safety.
ANAESTHESIAHistory • Sigmund freud was the 1st to report cocaine as local anesthetic in1860 • Which he used along with Carl koller in 1884 • Procaine was used by Einhorn in 1905.
Advantages of topical over infilterative. • No complications like; -R.B.H -Inj in eye ball -Optic nerve inj. -Muscle injury -Cardio vascular side effects. - post op black eye. Etc
Adv -Temporal Clear Corneal • Exposure better • Space more for hands to work • No conj,sclera,iris related comp. • Multiple use single port entry into A.C • Rexis/ capsulotomy. Easy assess • Nucleus prolapse Easy • Nucleus delivery Easy • Cortical cleaning. Easy
Conclusion • Temporal clear corneal incision under topical an aesthesia for MSICS is very economic but equally safe and efficient procedure. More so for the bulk surgery especially in developing nations .
