Topical Anesthesia for Intravitreal Injection
Procedure started after cleaning and draping.

Oxygen provided 2 Litres/min via nasal prongs. Patient vitals monitored throughout the procedure. Patient tolerated procedure well. No anaesthetic complications.

Local anesthesia for retinal surgery 
Peribulbar block given of 5 ml Bupivacaine and 5 ml lignocaine in the superionasal orbit and inferiotemporal orbit quadrant. Pressure with Pinky done for 3 minutes. Ocular akinesia and anaesthesia confirmed. Procedure started after cleaning and draping.

Oxygen provided 2 Litres/min via nasal prongs. Patient vitals monitored throughout the procedure. Patient tolerated procedure well. No anaesthetic complications.Post Operative  –
Patient – Conscious, Vitals Stable . Patient shifted to recovery room. 
Post op Orders -
Monior SPO2, Pulse , BP . Inform SOS.
NBM for 1 hour. Continue IV Icolyte P

General Anesthesia
Premedication with injection Ondem + as per weight calculation.  Sedation with Injection Midazolam + Injection Ketamine + Injection Propofol done. Local Anesthesia Augmentation Done With 2ml Xylocaine done peribulbar. Patient maintained on Injection Ketamine + Injection Propofol. O2 Supplementation via Nasal Catheter. Spontaneous respiration present. IV Icolyte P Given as per weight calculation
Post Operative  –
Patient – Conscious, Vitals Stable . Patient shifted to recovery room. 
Post op Orders -
Monior SPO2, Pulse , BP . Inform SOS.
NBM for 1 hour. Continue IV Icolyte P