DOI: https://doi.org/10.14710/jai.v0i0.62799

Peribulbar Block for Cataract Surgery in Patient with Nystagmus and Chronic Kidney Disease

1Department of Anesthesiology and Intensive Therapy, Faculty of Medicine, Padjadjaran University/ Dr. Hasan Sadikin General Hospital, Bandung, Indonesia

2Department of Anesthesiology, National Eye Center, Cicendo Hospital, Bandung, Indonesia

Received: 23 Mar 2024; Revised: 18 Jun 2024; Accepted: 19 Jun 2024; Available online: 20 Jun 2024; Published: 31 Jul 2024.
Open Access Copyright 2024 JAI (Jurnal Anestesiologi Indonesia)

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Abstract

Background: Management of presenile cataracts with nystagmus and chronic kidney (CKD) disease is a separate problem in anesthetic procedures. The risk of anesthesia in patients with chronic kidney disease is accumulation of nephrotoxic metabolites, unstable hemodynamic during intraoperative, and fluid overload.

Case: A 43-year-old man with a diagnosis of immature presenile cataract with nystagmus and comorbid CKD was planned for phacoemulsification and intraocular lens. The anesthetic technique used was regional anesthesia with peribulbar block. Site injections in the inferotemporal and medial canthus with local anesthetic drugs levobupivacaine 0.5% 5 ml and lidocaine 2% 3 ml.

Discussion: Combination of peribulbar block and mild sedation provides effective analgesic and anxiolytic effects. Peribulbar blocks in nystagmus besides sensory blocks can also block motoric function so that the position of the eyeball is in center.

Conclusion: The peribulbar blockade anesthetic technique can be considered as an alternative safe anesthetic technique for cataract surgery with nystagmus and CKD.

 

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Phacoemulsification dan Intraocular Lens Under Block Peribulbar in Presenile Cataract with Nystagmus and Chronic Kidney Disease
Subject anesthesia; block peribulbar; chronic kidney disease; nystagmus; regional anesthesia
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Subject anesthesia; block peribulbar; chronic kidney disease; nystagmus; regional anesthesia
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Keywords: anesthesia; block peribulbar; chronic kidney disease; nystagmus; regional anesthesia

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Section: Case Reports
Language : EN
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  1. Du YF, Liu HR, Zhang Y, Bai WL, Li RY, Sun RZ, et al. Prevalence of cataract and cataract surgery in urban and rural Chinese populations over 50 years old: a systematic review and Meta-analysis. Int J Ophthalmol. 2022;15:141–49
  2. Papageorgiou E, Gottlob I. The challenges faced by clinicians diagnosing and treating infantile nystagmus Part I: diagnosis. Expert Rev Ophthalmol. 2020;16:1–16
  3. Chowdhury SR, McLure HA. Chronic kidney disease and anaesthesia. BJA Educ. 2022;22:321–28
  4. Rath P, Shivashankar A, Luthra L, Mitta N. Regional Anesthesia: Boon for Chronic Kidney Disease Patients Undergoing Vascular Access Surgery. Int J Recent Surg Med Sci. 2020;5:37–41
  5. Boesoeri MA. Peribulbar block at a glance. Cicendo Int Ophtmalmology Meet. 2021
  6. Ahmed M, Krishna Y, Popova P, Herbert R, Sidaras G, Choudhary A, et al. Low-Dose Propofol with Peribulbar Anaesthesia for Cataract Surgery. Vol. 12, Journal of Clinical Medicine. 2023. p. 1–7
  7. Jeong SH, Kim JS. Update on Nystagmus and Other Ocular Oscillations. J Clin Neurol. 2021;17:337–43
  8. Alaçamlı G. How to manage the cataract with nystagmus under topical anesthesia: A case report. J Med Dent Investig. 2023;4:1–3
  9. Siqueira HCT, de Siqueira CMMS, de Lima MMB, Lins LTC. Ultrasound-Guided Peribulbar Block with Blunt Canula for Cataract Surgery: A Review of Historical Case-Series. Open J Ophthalmol. 2022;12:322–34
  10. Bahrainwala JZ, Gelfand SL, Shah A, Abramovitz B, Hoffman B, Leonberg-Yoo AK. Preoperative Risk Assessment and Management in Adults Receiving Maintenance Dialysis and Those With Earlier Stages of CKD. Am J Kidney Dis. 2020;75:245–55
  11. Gao C, Weng C, He C, Xu J, Yu L. Comparison of regional and local anesthesia for arteriovenous fistula creation in end-stage renal disease: a systematic review and meta-analysis. BMC Anesthesiol. 2020;20:219–25
  12. Swathi N, Srikanth K, Venipriya S. Does the addition of hyaluronidase improve the quality of peribulbar anesthesia in cataract surgery? – A randomized double blinded study. Saudi J Ophthalmol. 2018;32:204–10
  13. Goyal N. Head and Neck: Retrobulbar Block and Peribulbar Block BT. Dalam: Banik, RK, Penyunting. Anesthesiology In-Training Exam Review: Regional Anesthesia and Chronic Pain. In: Banik RK, editor. Cham: Springer International Publishing; 2022. p. 175–78
  14. Samal S, Jena S, Mishra J, Nanda P, Biswal D. Evaluation of efficacy of peribulbar block with the combination of 2% lidocaine and 0.5% bupivacaine in comparison with 2% lidocaine and 0.75% ropivacaine in cataract surgery. Natl J Maxillofac Surg. 2023;14:300–4
  15. Kumar CM, Seet E, Eke T, Irwin MG, Joshi GP. Peri-operative considerations for sedation-analgesia during cataract surgery: a narrative review. Anaesthesia. 2019;74:1601–10
  16. Irawati D, Adli M, Yadi DF. Successful Use of Low-Dose Combination Propofol and Fentanyl in Cataract Surgery Phacoemulsification. Clin Ophthalmol. 2023;17:1929–37

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