Important Topics in Ophthalmic Anesthesia 

1. Ocular Physiology and Anesthesia Implications

• Intraocular Pressure (IOP): Factors affecting IOP (e.g., anesthetic drugs, positioning, ventilation).

• Oculocardiac Reflex (OCR): Mechanism, triggers, prevention, and management.

• Effects of Anesthesia on Ocular Blood Flow.

• Drug-induced Pupillary Changes (e.g., opioids, anticholinergics).

2. Anesthetic Techniques for Ophthalmic Surgery

• Peribulbar Block: Technique, advantages, complications.

• Retrobulbar Block: Indications, risks (retrobulbar hemorrhage, globe perforation).

• Sub-Tenon’s Block: Safe alternative, technique.

3. Special Considerations in Ophthalmic Anesthesia

• Glaucoma Surgery 

• Strabismus Surgery

• Retinal Surgery