Dear Sir , It is always the regional anesthesia because the client do not any memory at all in total absence of feeling of surgery done in the eye, which is not in srface anesthesia as the patient does have the pull and push and syrface level feeling of something is done and is consciously  at minimum fear. Thanks

Hello,

You have also to consider the inherent risk of the regional anesthesia.

If you talk about peribulbar it's more risky than surface anesthesia.

So with a well trained team, I prefer surface: fast, efficient and secure

Have a Nice Day, Phill

Agreed to Dr. Philippe; but have you done any research in your patients with regard to grading of pain and comfort during surgery and post operative. Yes no doubt for us (Surgeons) surface anesthesia is fast, secure than regional and efficient too. But my question was from the patient's perspective. Will it differ depending upon gender, age, education level and set up of the service delivery hospital???

Ok, I better understand your question.

The technique is one thing, but what is essential for the patient is the self-confidence of his/her surgeon and the operative room team. If you are ok with your technique (peribulbar, surface...), the patient can feel it and will have good perceptions and feed back when coming home.

There is some degree of pain with both anesthetic techniques. Interestingly however, the difference is higher in RCTs where the outcome assessor was not blinded to the anesthetic technique used (Guay J, Sales K. Sub-Tenon's anaesthesia versus topical anaesthesia for cataract surgery. Cochrane Database Syst Rev. 2015 Aug 27;8:CD006291).

Nice information, Dr. Guay

It is multifactorial, patient side that they are phobic and uncooperative coughing all the time, eye examination before surgery that may affect results postoperatively,surgeon experience also plays an important part.