Journal of AdvancedMedical and Dental Sciences Research

Background:Cataract surgeryis among the most performed surgical procedures globally. The present study was conducted to compare the efficacy of intracameral Ropivacaine 0.1% to Lignocaine 1.0% in patients undergoing phacoemulsification under augmented topical anesthesia. Materials & Methods:72 patients undergoing cataract surgery of both genderswere divided into 2 groups of 36 each. Group I received 0.1% Ropivacaine and group II received 0.1% lignocaine. Preoperative and postoperative endothelial cell count was done using a specular microscope. Results: There were 20 males and 16 females in group I and 17 males and 19 females in group II. The average pre-op IOP was 14.92 mm Hg in group I and 14.31 mm Hg in group II. The difference was non- significant (P> 0.05).LOCS grade I was seen in 14 in group I and 8 in group II, II in 10 and 12, III in 7 and 9 and grade IV in 5 and 7 patients respectively. The difference was significant non- (P> 0.05). The pre-surgery average cell density in group I was 2650.2 and in group II was 2438.6. Post-surgery average cell density in group I was 2548.5 and in group II was 2230.4. The difference was significant non- (P> 0.05). Conclusion: Intracameral ropivacaine and lignocaine, both are equally effective in providing analgesia during phacoemulsification.