DR. PRANSHU GOEL

Dr. RAJESH SUBHASH JOSHI

Abstract

To study safety and efficacy of subconjunctival block (SC) and subtenon block (ST) in MSICS. Randomized control trial dividing patients into 2 groups SC and ST, with subjective pain assessment at different steps of procedure and patient & doctor satisfaction. All patients in both the groups had no to mild pain during administration. During surgery 10.2% in group SC and 7.1% in group ST had severe pain for which additional intracameral lignocaine was given. The patients were satisfied in 88% of SC and 89% of ST group . The doctor was satisfied with surgery in 91.83% of SC and 94.89% of ST group , with chemosis and subconjunctival haemorrhage as primary complication in both. No intraoperative complications noted in either groups. Safety and efficacy of both the block are comparable. Subconjunctival block being easy to administer and more comfortable for patient too, requiring only 0.5cc can be considered for MSICS

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