[Local and regional anesthetic techniques in strabismus surgery: advantages and disadvantages].

The development of locoregional anesthesia in ophthalmological surgery has diminished anesthetic risks and facilitated faster post-surgery recovery, both of which are very important in ambulatory surgery. Even though in many health centers surgical correction of strabismus is performed under general anesthesia, in recent years an increasing number of ophthalmologists execute the operation with locoregional anesthesia in adult patients. In addition, strabismus surgery is one of the most painful ophthalmological interventions and therefore could benefit from the optimum analgesia provided by locoregional anesthesia in the first hours after surgery. Various locoregional anesthesia techniques also include additional benefits such as the ability to explore and rectify the result of the surgery with the patient being awake before completing the surgery. Both retrobulbar and peribulbar anesthesia have been utilized for strabismus surgery in adult and pediatric patients,1,2 in combination with general anesthesia for the latter group. As this type of anesthesia desensitizes afferent pathways, the incidence of oculocardiac reflex during surgery has diminished.2 An additional advantage attributed to local