Table 1 Overall use of anaesthetic techniques for cataract surgery in the United Kingdom in 2003.
NHS | Private practice | |
---|---|---|
A: All cataract surgery | ||
General anaesthesia (GA) | 4.1% | 5.5% |
Local anaesthesia (LA) | 96.0% | 93.5% |
Without sedation | 92.1% | 85.8% |
With sedation | 3.9% | 7.7% |
No anaesthesia | 0% | 0% |
B: Cataract surgery using LA | ||
Peribulbar LA | 30.6% | 34.7% |
Without sedation | 28.5% | 30.5% |
With sedation | 2.0% | 4.2% |
Retrobulbar LA | 3.5% | 4.7% |
Without sedation | 3.3% | 4.4% |
With sedation | 0.2% | 0.3% |
Sub‐Tenon's LA | 42.6% | 35.1% |
Without sedation | 41.1% | 33.3% |
With sedation | 1.5% | 1.9% |
Sub‐conjunctival LA | 1.7% | 2.5% |
Without sedation | 1.6% | 2.4% |
With sedation | 0.1% | 0.1% |
Topical LA | 9.9% | 9.8% |
Without sedation | 9.6% | 9.2% |
With sedation | 0.3% | 0.6% |
Topical‐intracameral LA | 11.0% | 11.9% |
Without sedation | 10.7% | 10.5% |
With sedation | 0.3% | 1.4% |
Responses to a postal questionnaire survey of current practice, mailed to UK ophthalmologists. Pooled data from 699 respondents, of whom 642 provided data for practice in the National Health Service and 462 provided data for private practice. Section A: Pooled responses to the question “[for cataract operations performed by yourself or members of your surgical team], what is the usual frequency of the different types of anaesthesia?”. Section B: Pooled responses to the question “Of the cataracts that are performed using local anaesthesia, what is the usual frequency of the different techniques?”. Respondents gave an exact percentage estimate for their own usage of each technique. Columns do not all sum to 100% because of incomplete forms from some respondents and rounding of percentages. NHS, National Health Service.