Abstract
OBJECTIVE: To ascertain indications for local anaesthesia (LA) for cataract surgery, and also to survey the techniques and agents in common use. STUDY DESIGN AND SETTING: A postal questionnaire was devised inquiring about attitudes, practices and techniques in local anaesthesia for cataract surgery. It was sent to all consultant ophthalmologists in England, Wales and Scotland during the period April to July 1989. RESULTS: The response rate was 80%. The results indicated that most surgeons prefer to operate under general anaesthesia. Expense, unavailability of anaesthetists and speed of turnover were not considered to be common indications for LA. Sedation was used by 61% of cataract surgeons, benzodiazepines being the most popular agents. Most surgeons did not routinely request the prsence of an anaesthetist during LA but 86% designated a member of the theatre staff to monitor the patient. Retrobulbar injection was the most popular local anaesthetic technique, almost invariably given by the surgeon. Some form of compression following injection was used by 61% of surgeons. The great majority of cataract operations were performed as inpatients.
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