• S Wenger, C Luyet, and J G Garweg.
• Dept. Anaesthesiology, Inselspital, Bern, Switzerland (Med. Director: Prof. Dr. med. F. Stüber).
• Klin Monbl Augenheilkd. 2015 Apr 1; 232 (4): 367-71.

BackgroundRetrobulbar anaesthesia is a valuable alternative not only for polymorbid and haemodynamically compromised patients. Complications are rare but may be devastating.MethodsPrincipally, any intraocular surgery can be made under local anaesthesia. There are only a few contraindications to regional anaesthesia such as denial against regional anaesthesia, allergy to local anaesthetics, local infection, severe orthopnea, insufficiently controlled psychiatric disorders or small children and non-cooperative patients.ResultsThe success rate of retrobulbar anaesthesia in terms of control of intraoperative discomfort approaches 100% with an intraconal injection in 94% and a distribution of fluid into the intraconal space in 97%.ConclusionBased on the recent literature, the present review compares techniques, describes possible complications and in the absence of evidence-based studies provides suggestions for the handling of patients under thrombocyte aggregation inhibitor and vitamin K antagonist therapy and anticoagulation.Georg Thieme Verlag KG Stuttgart · New York.

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