COMPARISON OF ROLE OF SODIUM BICARBONATE (7.5%) AS AN ALTERNATIVE OF HYALURONIDASE IN OCULAR ANAESTHESIA FOR CATARACT SURGERY

PURPOSE: To compare the safety, efficacy and cost effectiveness of sodium-bicarbonate mixed anesthetic mixture with hyaluronidase mixed mixture in peribulbar anesthesia for cataract surgery. MATERIAL AND METHOD: This prospective study was conducted on 50 patients admitted for cataract surgery in Department of Ophthalmology, U. P. Rural Institute of Medical Sciences and Research, Saifai, Etawah. They were randomly and equally divided into two groups and received one of the anesthetic mixtures for peribulbar anesthesia. RESULTS: Results were analyzed according to systemic effects (blood pressure, pulse rate), local effects (conjunctival congestion, chemosis, lid edema, and intraocular pressure), time of onset of anesthesia, and its duration and cost burden. CONCLUSION: The study implied that there is clear picture which could be seen that sodium bicarbonate mixture is equally safe, equally effective and less costly as compared to hyaluronidase