[Advantages and disadvantages of periocular analgesia].

PURPOSE

To evaluate the advantages of local analgesia in the form of posterior periocular blockade in comparison with retrobulbar blockade, used till now.

METHODS

During last 5 months 277 operations were performed in local analgesia, including 225 periocular and 52 retrobulbar.

RESULTS

Periocular analgesia is sufficient in cataract and antiglaucomatous surgery. The following complications were observed: palpebral haematoma, subconjunctival infiltration and transient visual loss.

CONCLUSION

In comparison with retrobulbar periocular technique of analgesia is less painful, easier to perform and safer in terms of perforation of the eyeball. Yet its inconvenience is that it must be done about 20 minutes before the surgery, connected with the delay effect of Bupivacaine.