EVALUATION OF ANESTHETIC DRUG USE IN OPHTHALMIC PROCEDURES AT PRINCE ZAID BIN AL HUSSEIN HOSPITAL

Abstract

Introduction: While topical, local, and regional anesthesia are commonly used in ophthalmic surgery, general anesthesia may be necessary for children, uncooperative patients, or complex situations, selecting the incorrect anesthetic can result in systemic or ocular side effects, particularly in older patients with concurrent conditions. Drug utilization research is essential for rational medicine use in anesthetic departments, this study sought to evaluate the use of anesthetic drugs in ocular procedures at Prince Zaid Bin Al Hussein Hospital in order to maximize practice, minimize unnecessary consumption and improve patient safety. Methodology: All patients undergoing eye surgery who got any kind of anesthesia WERE included in this retrospective observational study, which was carried out, Data will be gathered from pharmacy databases and operating room records, Variables include procedure type, and specifics about anesthetic medications, including class and delivery method. The data will be analyzed using statistical software, the results will be summarized using descriptive statistics, and inferential tests, the outcomes will be compared with accepted clinical criteria. Result: the total annual consumption of topical ophthalmic anesthetic preparations was 820 minims. Lignocaine with fluorescein represented the largest share with 440 minims (53.7%), followed by Benoxinate with 380 minims (46.3%). During the same period, 190 ophthalmic procedures were recorded, mainly Phaco procedures, which accounted for 145 cases (76.3%). The calculated local consumption rate was approximately 4.32 anesthetic minims per ophthalmic procedure. Conclusion: Lignocaine with fluorescein and benoxinate was the most commonly used ocular anesthetic, this pattern is generally in line with international practice. This study offers a drug-utilization perspective, in contrast to the majority of international studies that concentrate on pain management and therapeutic efficacy. It connects the quantity and kind of ophthalmic procedures with the yearly administration of anesthetics.