BACKGROUND This randomized double-blind study examined the use of a new anesthetic agent, levobupivacaine 0.5%, which is the S(-)-enantiomer of a racemic mixture of bupivacaine, for peribulbar anesthesia and compared it with racemic bupivacaine 0.5% alone or in combination with hyaluronidase 10 IU/mL. METHODS A total of 160 patients undergoing ophthalmic surgery were randomized into four grou...

In the past decade ophthalmic anesthesia has witnessed a major transformation. The sun has set on the landscape of ophthalmic procedures performed under general anesthesia at in-hospital settings. In its place a new dawn has ushered in the panorama of eye surgeries conducted under regional and topical anesthesia at specialty eye care centers. The impact of the burgeoning geriatric population is...

The studybySoares et al. 1 published in this edition of the Brazilian Journal of Anesthesiology has aroused old questions about anesthetic techniques for eye surgery: retrobulbar, peribulbar, extraconal, periconal and subtenonian Anesthetic techniques aim at depositing local anesthetics in a given point as from which spread may reach ciliary nerves responsible for eye sensitivity, ciliary gangl...

BACKGROUND/AIMS To devise and evaluate a novel Ocular Anaesthetic Scoring System (OASS) for non-topical local anaesthesia. METHODS In OASS, a score of between 0 (poor) and 14 (excellent) was devised measuring motor (ocular motility, levator and orbicularis function) and sensory functions (digital spear pressure at limbus and topical anaesthetic sting). 40 patients were studied prospectively t...