Abstract
Peribulbar anesthesia is now accepted as a safe locoregional anesthesia to carry out most of the ophthalmic procedures. However, in penetrating keratoplasty (PKP) it carries many risks if the patient becomes restless since PKP is an “open sky” procedure making it totally dependent on the changes in the intra-ocular pressure (IOP). [1] Therefore, the main concern of anesthesia is to limit the risks associated with unexpected increase of IOP , the most hazardous of which would be suprachoroidal hemorrhage. [2]. Advancements in keratoplasty techniques are thus being made constantly to further improve prognosis and minimize the risks. Some of these include deep lamellar techniques and femtosecond laser assisted keratoplasty , the latter of which requires the patient to be transferred from one room, where the recipient’s and donor’s cornea are being cut by the femtosecond laser, to the operating room for graft suturing. Unfortunately, these advancements came at a cost as the procedure became lengthier.
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