2Fırat Üniv. Tıp Fak. Göz Hast. A.D., Elazığ, Araş. Gör.
3Fırat Üniv. Tıp Fak.Göz. Hast. A.D., Elazığ, Doç. Dr.
4Fırat Üniv. Tıp Fak. Anest. ve Reanim. A.D., Elazığ, Araş. Gör.
5Fırat Üniv. Tıp Fak. Anest. ve Reanim. A.D., Elazığ, Prof. Dr. Purpose: To describe the effect of preemtive anaesthesia in pars plana vitrectomy surgery.
Materials and Methods: 48 patients who underwent pars plana vitrectomy were prospectively evaluated in terms of postoperative pain and intraoperative fentanyl requirement. These patients were divided into 4 equal groups. The patiens in group I was received retrobulber anaesthesia alone. The patients in group II was received general anaesthesia and group III was received general anaesthesia + preoperative retrobulber anaesthesia and group IV was received general anaesthesia + postoperative retrobulber anaesthesia respectively. The postoperative pain score was assessed using the Visual Analogue Scale (VAS) at 1,3,6 and 24 hours after the surgery.
Results: The VAS results were not statistically different between all four groups at 1,3,6 ve 24 hours after the surgery (p>0.05). İntraoperative fentanyl requirement in group III was lower than in group II and IV (p< 0.01).
Conclusion: Preoperative retrobulber anaesthesia adminisration does not reduce postoperative pain but reduces intraoperative fentanyl requirement in pars plana vitrectomy surgery.
Keywords : Preemptive anaesthesia, pars plana vitrectomy