Commentary: Adjunctive agents in peribulbar anesthesia: Role of dexmedetomidine in vitreo-retinal surgeries

Unconventional positioning in severely kyphotic patient for retinal detachment surgery

“…DEX has been used as an additive agent in peribulbar blocks for VR surgeries with good surgeon satisfaction scores and better pain and sedation profile. [ 5 ] But the modus operandi as an adjunctive agent in peribulbar block remains to be answered. We rather adhered to its established role via the intravenous route incorporating the regime of half dose DEX loading dose i.e., 0.25 mg/kg rather than full dose DEX (0.5 mg/kg) as the former offered stable haemodynamics without any adverse effects and better control of sedation levels.…”