Scleral Buckling Under Local Anesthesia

Abstract

Objective: The purpose of the study was to report the effectiveness of local anesthesia in cases of scleral buckling.

Design: The study design was a prospective clinical study.

Material and Methods: A total of 119 patients with rhegmatogenous retinal detachment were included in the study. All patients underwent peribulbar anesthesia of 5ml Bupivacaine 1%. The primary outcome measured was intraoperative patient’s comfort level and was assessed by direct questioning and documenting on pain chart at different stages of surgery by pain score.

Results: 69 patients (57.9%) reported mild pain levels (1-3). 37 patients (31.09%) reported pain levels of 6 (moderate) while 13(10.9%) patients reported severe pain. 05 (4.2%) patients needed supplemental intraoperative local anesthesia.

Conclusion: Local anesthesia with 5ml of peribulbar Bupivacaine 1% is effective in cases of scleral buckling in selected cases.