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Brown: Atlas of Regional Anesthesia, 3rd ed., Copyright © 2006 Saunders, An Imprint of Elsevier
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PEARLS

If anesthesiologists perform retrobulbar anesthesia, they must work with ophthalmologists who are supportive and willing to share this part of their practice. Theoretically, many of the complications of retrobulbar anesthesia can be avoided if peribulbar block is carried out. Once again, it can be produced by placing the needle along the muscular cone of extraocular muscles rather than within the muscular cone. Although slightly larger volumes of local anesthetic are required with this technique, most of the major complications can be avoided in this fashion.

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