Evidence map›Paper›PMID 39027067›Full record

ArticleTaiwan journal of ophthalmology

Cardiovascular effects of diluted intracameral combination of 0.02% tropicamide, 0.31% phenylephrine, and 1% lidocaine during phacoemulsification to manage intraoperative miosis.

Ashwani Kumar Ghai, Jatinder Bali, Nikita Sethi, Surakshya Rajaure, Salman Sarkar

Abstract read
In one paragraph

Article in Taiwan journal of ophthalmology. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Ashwani Kumar GhaiDepartment of Para Medical Sciences (Optometry), Shree Guru Gobind Singh Tricentenary University Budhera Gurugram Haryana India and Department of Ophthalmology, Mojiram Lions Eye Hospital Akbarpur Majra Delhi India, India.
Jatinder BaliNBEMS (National Board of Examinations in Medical Sciences) Course Coordinator, Department of Ophthalmology, Hindu Rao Hospital, MCD, Delhi, India.
Nikita SethiDepartment of Para Medical Sciences (Optometry), Shree Guru Gobind Singh Tricentenary University Budhera Gurugram Haryana India and Department of Ophthalmology, Mojiram Lions Eye Hospital Akbarpur Majra Delhi India, India.
Surakshya RajaureDepartment of Para Medical Sciences (Optometry), Shree Guru Gobind Singh Tricentenary University Budhera Gurugram Haryana India and Department of Ophthalmology, Mojiram Lions Eye Hospital Akbarpur Majra Delhi India, India.
Salman SarkarDepartment of Para Medical Sciences (Optometry), Shree Guru Gobind Singh Tricentenary University Budhera Gurugram Haryana India and Department of Ophthalmology, Mojiram Lions Eye Hospital Akbarpur Majra Delhi India, India.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeIntracameral mydriatic agents (ICMAs) are replacing the conventional method of topical mydriasis for its fast action and no need for repeated instillation before cataract surgery. Its application for the management of intraoperative miosis needs to be studied with different doses of mydriatic agent. The objective of the study is to study cardiovascular effects of diluted intracameral combination of 0.02% tropicamide, 0.31% phenylephrine, and 1% lidocaine during phacoemulsification to manage intraoperative miosis. MATERIALS AND

methodsThe study was conducted at Mojiram Lions Eye Hospital Akbarpur Majra village, Palla Bakhtawarpur Road, Delhi, during the year 2021-2022 after taking approval from the Ethical Committee of the hospital. Patients undergoing cataract surgery who were not dilated adequately during the preoperative period or developed intraoperative miosis were managed by injecting diluted intracameral combination of 0.02% tropicamide, 0.31% phenylephrine, and 1% lidocaine (phenocaine plus). 0.5 ml of phenocaine plus was diluted with 1.5 ml of ringer lactate solution and 0.50 ml of this solution was injected intracameral and its effect on pulse rate, blood pressure (BP), and oxygen saturation were monitored continuously on pulse oximeter.

resultsThere was no statistically significant effect of diluted ICMA (Phenocaine Plus) on diastolic BP and oxygen saturation. However, systolic BP showed a little change from mean of 133.78 (standard deviation [SD] =16.04) mmHg to 133.92 (SD = 15.33) mmHg which was statistically significant but clinically not significant. Pulse rate increased slightly from mean 76.46 per minutes (SD = 15.14) to 79.40 (SD = 14.95) at 10 s and 76.49 (SD = 15.15) at 60 s. The difference was again statistically significant but clinically insignificant.

conclusionLow concentration of intracameral combination of 0.02% tropicamide, 0.31% phenylephrine, and 1% lidocaine is a very safe and effective method for the management of intraoperative miosis.

Indexed as

Cardiovascular effectsintracameral mydriaticintraoperative miosisphacoemulsification

Identifiers

PMID39027067
PMCPMC11253991

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.