Scleral Buckling Under Local Anesthesia

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.