Retrobulbar anaesthesia during Keratoplasty

A: A restrospective study was carried in order to evaluate the efficacy and safety of retrobulbar anaesthesia during keratoplasty. Of 250 consecutive keratoplasty, 30 [12%] were performed under retrobulbar anaesthesia. Patients received a mean volume of 12ml, composed of etidocaine [2/3], bupicaine [1/3] and hyaluronidase. Ocular compression duration was at least 20 minutes. Surgery was found painless by 90% of patients. Akinesia was complete in 80% of cases. Theses results demonstrate that retrobulbar anaesthesia may be recommended to this type of surgery