|Home | About | Journals | Submit | Contact Us | Français|
Peribulbar block is commonly used for ocular posterior segment surgery. This work aimed to compare the efficacy of using 12.5mm to 25mm standard needle length in performing single injection peribulbar block for retinal surgery. Peribulbar block was performed in 120 patients using either standard 25mm or 12.5mm 30 G needle (insulin needle). While applying digital pressure around the needle hub, 8–10mL of local anesthetic are injected. Ocular movement was assessed at 5 and 10min using simple akinesia score (0–8). If after 10min score was >1, supplementary injection was given. Visual analogue scale (0–10) was used at the end of the procedure to assess surgeons' satisfaction and patients' intraoperative pain. No differences in akinesia score at 5 & 10min (P = 0.34 and 0.36, resp.). Initial volume injected was comparable between groups (P = 0.31), however total volume of local anesthesia and supplementary injections were significantly higher in 12.5mm group (P = 0.03 and 0.01, resp.). No difference as regard surgeons' satisfaction and patients' intraoperative pain (P = 1.0 and 0.18, resp.). Peribulbar block with 12.5mm needle together with digital compression is a suitable alternative to the standard block with 25mm needle length for retinal surgery.