A prospective randomised study is reported comparing a single peribulb
ar injection into the medial compartment of the orbit and the standard
two injection peribulbar technique. One hundred and seven patients un
dergoing elective intra-ocular surgery were randomly allocated to rece
ive either a single medial injecton, or two injections, using prilocai
ne 3% with felypressinl Akinesia and pain during surgery were assessed
following the injections(s). There was no significant difference in p
ain during surgery and globe akinesia between the two groups. The sing
le medial peribulbar injection is as effective as two injections usig
prilocaine 3%.