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...

Recent improvements in technique have made cataract surgery a popular procedure in the outpatient setting. One of those advances has been the use of retrobulbar block instead of general anesthesia. This article explains the anatomy, pharmacology, technique and complications of retrobulbar block.

Retrobulbar anesthesia (block) is used for many ocular surgeries, whereas it is well known that this procedure has complications such as for retrobulbar hemorrhage, globe perforation, optic nerve injury and brain stem anesthesia. In this report, we present a unique case in the literature of isolated exudative retinal detachment (RD) secondary to iatrogenic retrobulbar hemorrhage. A 73-year-old ...

Background: The injection of retrobulbar block is associated with significant pain and discomfort. Therefore a short-acting IV analgesic before retrobulbar injection has been advocated. Objective: To compare remifentanil, alfentanil and fentanyl in providing analgesia for retrobulbar block injection. Methods: 69 patients were enrolled randomly into three groups of 23 each to receive either Remi...

A retrospective study was performed to compare differences in hospital charges between monitored anesthesia care with retrobulbar block and general anesthesia among patients having vitrectomy. Of 128 consecutive patients undergoing vitrectomy between July 1996 and July 1997, group 1 received general anesthesia (n = 41), group 2 received monitored care anesthesia with retrobulbar block (n = 59),...