To evaluate an indwelling orbital catheter, placed at enucleation, forrepeatable delivery of local anesthetic on an outpatient basis.
A retrospective, noncomparative, case series medical record review wasperformed of patients undergoing enucleation and receiving an indwelling orbitalpain-control catheter at surgery by us from January 1, 1998, through December31, 2001. Medical records were reviewed for hospitalization status postoperatively.Medical records of those patients treated on an outpatient basis were reviewedfor patient and family comments about ease of use of the pain-control catheterand the degree of pain control and for any complications associated with catheteruse. The main outcome measures included documented patient and family commentsand physician medical record notes about catheter use and complications.
Of the 85 patients, 67 were treated on an outpatient basis. The other18 patients required a postoperative hospital admission for unassociated medicalproblems. Of the 67 patients, 58 (87%) reported using the catheter at homeat least once. Of these 58 patients, 10 reported mild discomfort with catheteruse, but in no case did the patient discontinue catheter use because of discomfort.All patients using the catheter reported pain relief lasting from 1½to 4 hours. No postoperative complications associated with catheter placementwere observed.
The orbital pain-control catheter allows a caregiver to easily and repeatedlydeliver local anesthetic to the operative site following enucleation, resultingin effective postoperative analgesia while the patient recovers at home.