A successful case of trabeculectomy without adjunctive antimetabolites performed with retrobulbar anesthesia has been reported in a pregnant patient.
39) Subconjunctival and anterior sub-Tenon's anesthesia combined with a topical anesthesia for glaucoma surgery may be well tolerated and may allow a less systemic absorption of the medication than a retrobulbar anesthesia.
Davis DB II, Mandel MR: Posterior peribulbar anesthesia: An alternative to retrobulbar anesthesia
Efficacy and safety of hyaluronidase 75 IU as an adjuvant to mepivacaine for retrobulbar anesthesia in cataract surgery.
Retrobulbar anesthesia with and without hyaluronidase in extracapsular cataract surgery: a prospective, randomized, double-blind study.
Immediate visual capability after cataract surgery: Topical versus retrobulbar anesthesia
A comparative study of topical vs retrobulbar anesthesia
in complicated cataract surgery.
Since peribulbar anesthesia is safer than retrobulbar anesthesia
, so in this study we used peribulbar anesthesia.
An important criticism of the use of topical anesthesia for intraocular surgery is that its analgesic effect may be less than that of peribulbar or retrobulbar anesthesia