Are Local Anesthetics A Standard of Care for Penetrating Keratoplasty?

Abstract The purpose of this study was to ascertain the safety and preferences of local anesthetic (LA) for penetrating keratoplasty. A review of all PKs completed at Ibn Al-Ahaitham Teaching Eye Hospital over the previous four years (2018–2021) in order to determine the incidence of serious complications. To ascertain patterns in PK's anesthetic use, structured interviews with hospitalized cornea experts were conducted. Continuous data were expressed as mean (SD), whilst categorical variables were expressed as a number (%). In local anesthesia, 41% of the population was under 30, while 59% was over 30. Of these, 69.1% were female. In general anesthesia, there were 56.9% more women than men, 43.1% more men than women, and 33.3% more people under 30 than over 30. Expulsive suprachoroidal hemorrhage (SCH) and a posterior capsule rupture brought on by elevated vitreous pressure constituted the primary complications. It should be mandatory for all waiting list patients with chronic illnesses to have regular follow-up appointments for at least six months before the planned operation date. Keyword: Local anesthesia, Standard, Penetrating Keratoplasty.