Retrobulbar Block in Combination with General-Anesthesia for Equine Ophthalmic Surgery

The use of retrobulbar block in conjunction with general anesthesia was evaluated in the horse. A prospective study of 12 cases fulfilling criteria for application of retrobulbar block was compared to a retrospective survey of 25 cases (control group) in which retrobulbar block was not performed. Retrobulbar block was done using a modified Peterson technique and 2% lidocaine HCI without epinephrine. In the control group, four horses exhibited signs compatible with initiation of the oculocardiac reflex; three horses developed bradyarrhythmias and hypotension during global traction related to enucleation, and cardiac arrest occurred in one horse during cataract extraction. In the retrobulbar block group, one horse developed bradyarrhythmia subsequent to retrobulbar block.