There has been a progressive change in the anesthetic practice for ophthalmic surgery over the past decade. Most cataract surgeries are performed using a topical anesthetic (eyedrops) or a local anesthetic. The current article describes the guidelines for local Anaesthesia in ophthalmic surgery given by the Royal College of Anesthetists and the Royal College of Ophthalmologists. The use of various types of local anesthetics may lead to serious systemic adverse events in association with ophthalmic surgery.

An integrated teamwork is necessary for safe surgery and is essential in every step of the process. Selection criteria for local or general Anaesthesia According to the individual, the type of anesthesia should be decided. Local anesthesia (LA) is the method of choice for the majority of day case ophthalmic surgery. In case of complex and prolonged surgery and in surgeries where LA is…