INSTITUTE

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GOLDEN TEMPLE
INSTITUTE
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Temporal Clear Corneal SICSUnder proparacain .

• Author
• Dr. Shakeen Singh
• Sri Guru Ram Dass Institute of
• Medical Sciences Research, Amritsar.

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• Every surgical effort upon eyeball
• is
• to analyze and decide the
• BEST
• suitable for its ultimate safety.

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ANAESTHESIAHistory

• Sigmund freud was the 1st to report cocaine as
  local anesthetic in1860
• Which he used along with Carl koller in 1884
• Procaine was used by Einhorn in 1905.

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Advantages of topical over infilterative.

• No complications like
• -R.B.H
• -Inj in eye ball
• -Optic nerve inj.
• -Muscle injury
• -Cardio vascular side effects.
• - post op black eye. Etc

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Adv -Temporal Clear Corneal

• Exposure
• better
• Space
• more for hands to work
• No
• conj,sclera,iris related
  comp.
• Multiple use single port entry into A.C
• Rexis/ capsulotomy.
• Easy assess
• Nucleus prolapse
• Easy
• Nucleus delivery
• Easy
• Cortical cleaning.
• Easy

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Conclusion

• Temporal clear corneal incision under topical an
  aesthesia for MSICS is very economic but
  equally safe and efficient procedure. More so
  for the bulk surgery especially in developing
  nations .

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THANKS