Fifty-four consecutive cases of single injection peribulbar anaesthesi
a performed by the same ophthalmologist were evaluated concerning clin
ical effect on motility/akinesia and pain. The patients were randomly
selected to one of two different mixtures of anaesthetics, one contain
ing lidocaine, bupivacaine, adrenaline and hyaluronidase. The other li
docaine and bupivacaine. The mixture with adrenalin and hyaluronidase
was significantly more effective than the other (success rates of 77.8
% and 25.9%, p < 0.005).