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Cataract SurgeryNCT04178200

Evaluation of Duration of Anesthesia and Patient Satisfaction After Retrobulbar Block Applied in Cataract Surgery

An observational study of Cataract Surgery and Patient Satisfaction, run by Develi Devlet Hastanesi at 1 site in Turkey (Türkiye).

Unknown status

Status not confirmed. The sponsor has not verified this record for over two years, so it may be out of date.

Official record
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Trial summary

It is aimed to determine patient satisfaction (pain assessment during and after the operation) and the initial and total anesthesia durations of eye lid and globe anesthesia after administration of local anesthetic solution only in standard applied volumes (1.5-3 ml). Read more about this study

Who is it for?
Ages 18 to 90 years
Conditions the study is for
Cataract Surgery, Patient Satisfaction, Akinesia
What is being tested?
Lidocaine 2% Injectable Solution 0.75 ml, Bupivacaine Hcl 0.5% Inj 0.75 ml and Lidocaine 2% Injectable Solution 1.5 ml
Type of treatment
Injection or infusion
How many people
80 participants
Where
1 siteTurkey (Türkiye)
Study dates
16 Dec 2019to 24 Apr 2020
Phase
Observational
Are there results?
None posted in the registry

Key requirements

Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.

  • Ages 18 to 90 years
  • All sexes
  • No healthy volunteers
  • Adult, Older adult

Study population: 80 people will be included in the study. All adult patients of ASA (American Society of Anesthesiologists) I-II-III who accept retrobulbar anesthesia before cataract surgery will be included in the study. The study will not include a vulnerable population, such as people with disabilities, children, pregnant women, puerperants and nursing women, people in intensive care and unconscious, and those who cannot give consent in person or vulnerable subjects.

Who may be able to join

  • To accept retrobulbar anesthesia before cataract surgery
  • To be over 18 and under 90
  • Being ASA I-II-III

Who cannot join

  • Not to accept local anesthesia
  • To be under 18 years
  • Having problems in communication
  • To have lid or eye anomaly
  • Being Parkinson's
  • Being myopia with axial length ≥ 26 mm
  • Hypersensitivity to local anesthetics or other drugs
  • Having bleeding or other drug related clotting problems

Trial locations and contacts

1 site in 1 country.

Hastane Başhekimliği contact

+903526216020

kayseridhs2@saglik.gov.tr

Turkey (Türkiye)1 site
  • Develi Hatice Muammer Kocatürk Devlet Hastanesi

    Develi, Kayseri, 38400

Other trials in Turkey (Türkiye)

About this study

It is aimed to determine patient satisfaction (pain assessment during and after the operation) and the initial and total anesthesia durations of eye lid and globe anesthesia after administration of local anesthetic solution only in standard applied volumes (1.5-3 ml). No agents will be added to the local anesthetic agents used in the conventional retrobulbar block in patients who will undergo cataract surgery,

Read the detailed description

In this study, 80 patients with American Society of Anesthesiologists (ASA) I-II-III who accepted retrobulbar anesthesia before cataract surgery and who were over 18 years of age and under 90 years of age were included in the study. Not accepting local anesthesia, being under 18 years of age, having problems in communication, having eyelid or eye anomaly, having Parkinson's disease, myopia with axial length ≥ 26 mm, hypersensitivity to local anesthetics or other drugs, and bleeding or other drug-induced clotting problem were determined as exclusion criteria for the investigator's study.

Written informed consent will be obtained from patients eligible for the study according to the above criteria. While obtaining informed consent, it will also be verbally stated that this study does not include any risks other than the risks of standard cataract surgery and retrobulbar block.

Patients taken to the operating room before the operation will be monitored and baseline blood pressure, pulse and peripheral capillary oxygen saturation (SpO2) values will be recorded. 2lt / min oxygen will be administered to patients with a nasal cannula. The normal ocular and valve movements of the patient will be checked and recorded before the procedure. Patients will receive a 20 gauge intravenous (IV) cannula. Before the retrobulbar block is applied, topical anesthesia is provided with 0.5% proparacaine drops and field cleaning with povidone iodine will be performed. The patient will be instructed to look at the finger held by the assistant personnel to bring the eyeball to the neutral position and the local anesthetic mixture will be slowly injected into the retrobulbar area with a 25 gauge ophthalmic needle. For retrobulbar anesthesia, 1.5-3 ml of local anesthetic solution (2% lidocaine, 5% bupivacaine) will be administered to the patients. The maximum treatment duration is 1 day and single dose. Gently massage the eye to disperse the local anesthetic solution and reduce bleeding. After block 1, 3, 5 and 10 minutes ocular movements and valve movements will be evaluated. To do this, patients will be told to look up, down, right and left and be asked to squeeze and open their eyelids. Ocular movements will be scored for each direction separately if normal, 2 if slightly restricted, and 0 if there is no movement (total score 0-8) [1]. In the evaluation of eye lid movements, complete immobility will be scored as 0, partial movement as 1 and normal movement as 2 [2]. The patient's blood pressure, pulse and SpO2 values will be recorded at 5 min intervals throughout the operation. During the operation, the pain of the patients will be assessed by a 3-point scale (0: no pain; 1: uncomfortable; 3: pain). Postoperative ocular and eye lid akinesia scores of the patients will be recorded at 30-minute intervals. Ocular and eye lid akinesia times will be recorded. Any side effects that occur during and after the procedure will be recorded. One day later, patients' responses will be recorded by asking for the first time and the number of times they need analgesics.

Being tested
Lidocaine 2% Injectable Solution 0.75 ml, Bupivacaine Hcl 0.5% Inj 0.75 ml, Lidocaine 2% Injectable Solution 1.5 ml, Bupivacaine Hcl 0.5% Inj 1.5 ml
Keywords
Cataract, Retrobulbar Block, Ocular and eyelid, Akinesia, Anesthesia Recovery Period, Patient Satisfaction, Pain Score
Medical subject headings
Patient Satisfaction, Cataract

What participants receive

What participants receive. In a randomised study each person is assigned to one group by chance.

  • Lidocaine 2% Injectable Solution 0.75 mlDrug

    Also called Lidocaine

    0.75 ml of Lidocaine will be added to the anesthetic solution.

  • Bupivacaine Hcl 0.5% Inj 0.75 mlDrug

    Also called Bupivacaine

    0.75 ml of Bupivacaine will be added to the anesthetic solution.

  • Lidocaine 2% Injectable Solution 1.5 mlDrug

    Also called Lidocaine

    1.5 ml of Lidocaine will be added to the anesthetic solution.

  • Bupivacaine Hcl 0.5% Inj 1.5 mlDrug

    Also called Bupivacaine

    1.5 ml of Bupivacaine will be added to the anesthetic solution.

Study groups in NCT04178200
Study groupRoleWhat they receive
1.5 ml DoseFor retrobulbar anesthesia, 1.5 ml of local anesthetic solution (2% lidocaine, 5% bupivacaine) will be administered to the patients.
Receives: Drug: Lidocaine 2% Injectable Solution 0.75 ml; Drug: Bupivacaine Hcl 0.5% Inj 0.75 ml
3 ml DoseFor retrobulbar anesthesia, 3 ml of local anesthetic solution (2% lidocaine, 5% bupivacaine) will be administered to the patients.
Receives: Drug: Lidocaine 2% Injectable Solution 1.5 ml; Drug: Bupivacaine Hcl 0.5% Inj 1.5 ml

What is being measured

The primary outcome is the main question the study is designed to answer.

  1. Patient Pain Score

    patient pain assessed by with pain score of 3 points-scale (0 No pain,1 Not comfortable, 2 Have pain )

    Measured: Immediately after the surgery

  2. The scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 1 minutes after the block

  3. The scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 3 minutes after the block

  4. The scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 5 minutes after the block

  5. The scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 10 minutes after the block

  6. The postoperative scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 30 minutes after the operation

  7. The postoperative scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 60 minutes after the operation

  8. The postoperative scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 90 minutes after the operation

  9. The postoperative scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 120 minutes after the operation

  10. The postoperative scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 150 minutes after the operation

  11. The postoperative scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 180 minutes after the operation

  12. The postoperative scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 210 minutes after the operation

  13. The scores of ocular and eyelid movements

    Ocular movements will be scored separately for each direction, 2 if normal, 1 if slightly restricted and 0 if no movement. Complete inactivity will be scored as 0, partial movement as 1, and normal movement as 2 in the evaluation of eyelid movements.

    Measured: at 240 minutes after the operation

Secondary outcomes (2)
  1. The need for analgesic and how many times it needs

    The patients will be asked whether they need analgesia (yes or no), if they need analgesia, they will be asked what time and how many times they take analgesic agents.

    Measured: One day after the surgery

  2. side effects questionnaire

    Ophthalmic side effects (Globe perforation, Pain at the injection site, Pressure sensation behind the eye, Subconjunctival hemorrhage, Retrobulbar hemorrhage, hematoma, ecchymosis, diplopia, ptosis) and other side effects (Nausea and vomiting, arrhythmia, Convulsion, Allergy, Weakness)

    Measured: One day after the surgery

Timeline

From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.

  1. First posted26 Nov 2019
  2. Study start16 Dec 2019 (estimated)
  3. Primary completion24 Apr 2020 (estimated)
  4. Study completion24 Apr 2020 (estimated)

Resources

More details

For doctors and researchers: how the study is designed, who runs it, and its registry IDs.

Study design
Study type
Observational
Observational model
Cohort
Time perspective
Prospective
Enrolment
80 participants (estimated)
IDs, dates and publications
ClinicalTrials.gov ID
NCT04178200
Sponsor's protocol ID
2019/776
Status last verified
Nov 2019
First submitted
20 Nov 2019
Last updated
26 Nov 2019
Results posted
No
FDA-regulated drug
No
FDA-regulated device
No
Individual data sharing
No

Publications

  • Barr J, Kirkpatrick N, Dick A, Leonard L, Hawksworth G, Noble DW. Effects of adrenaline and hyaluronidase on plasma concentrations of lignocaine and bupivacaine after peribulbar anaesthesia. Br J Anaesth. 1995 Dec;75(6):692-7. doi: 10.1093/bja/75.6.692.

    PubMed 8672315
  • Sarvela PJ. Comparison of regional ophthalmic anesthesia produced by pH-adjusted 0.75% and 0.5% bupivacaine and 1% and 1.5% etidocaine, all with hyaluronidase. Anesth Analg. 1993 Jul;77(1):131-4. doi: 10.1213/00000539-199307000-00026.

    PubMed 8317720

Questions about this trial

What is this clinical trial studying?

An observational study of Cataract Surgery and Patient Satisfaction, run by Develi Devlet Hastanesi at 1 site in Turkey (Türkiye).

The full registered description is in the About this study section and the official record.

Who may be eligible to take part?

The sponsor lists 3 inclusion and 8 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.

Is this clinical trial currently recruiting?

The record says: status not confirmed, as of the sponsor's last update on 26 Nov 2019. Status can change between updates, so confirm with the study contact before making plans.

Where is the study taking place?

The record lists 1 site in Turkey (Türkiye). Whether a site is taking part right now should be confirmed with that site. See every site.

What are the possible benefits and risks?

They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.

Are results available for this study?

Results are not available in the source record.

How can a doctor refer a patient or contact the research team?

Contact Hastane Başhekimliği (+903526216020, kayseridhs2@saglik.gov.tr), or a site near the patient. AzTrials does not enrol participants or take referrals.

What does the primary outcome measure?

Patient Pain Score (time frame: Immediately after the surgery). The study lists 13 primary outcomes in all. It is what the study was designed to measure, not a finding.

Where can I read the original study information?

On the ClinicalTrials.gov record for NCT04178200, which also lists 2 linked publications.

Does a listing mean the treatment is approved or proven to work?

No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.

How often is this information updated?

AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 26 Nov 2019.

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