Background Patient is very safe under general anaesthesia with laryngeal mask airway intra and post operatively in ophthalmic surgery. Methods Different ophthalmic procedures and surgery were done on different age group from five months to fifty years with ASA grade I and II under general anaesthesia by laryngeal mask airway (LMA) to see the haemodynamic status and other parameters during operation and post operative recovery period. Results Total number of ophthalmic surgery under G/A was 1814. General anaesthesia by orothracheal intubation was given only in twenty five (25) patients and general aneasthesia was given by Laryngeal mask airway insertion in 1789 patients. Complications occur in Laryngeal mask airway group patients only in 8 patients. Percentage of safe LMA insertion was 99.55% and percentage of complication was only 0.45%. Operation time ranges from few minutes to two hours. General aneasthesia through laryngeal mask airway insertion make the procedures easy and safe for the patients except minimum percentage of complications. Conclusion Laryngeal mask airway causes less changes of haemodynamic parameter. LMA is very effective in the spontaneously breathing patient. During operation patients become stable and no rise of intraocular pressure and on reverse the patient become smooth with less secretion, no spasm, no cough and no vomiting. JBSA 2012; 25(1): 28-31

Case Report:A 100 years old man weighing 45kg, was admitted in National Institute of Ophthalmology and Hospital (NIO&H) with the diagnosis of cataract in right eye. The patient was scheduled for operation under local anaesthetic block. But on the O.T. table,he became restless and noncooperative. The surgical team postponed the operation and planned to do the surgery under general anaesthesia. We did the necessary investigations for general anaesthesia. Patient was found non diabetic, but had anterolateral ischaemia in ECG and cardiomegaly in chest X-ray.Our anaesthetic plan was to do the surgery under sedation with local anaesthetic block (monitored anaesthesia care). On the OT (JBSA 2014; 27(1): 36-38) Immediately it was noticed that his SPO 2 fell down upto 85%. Guedel's airway was put in situ and oxygen administered through face mask 7-8L/min. Within 90 seconds, his SPO 2 increased to 99%. Then the surgical team gave the local anaesthetic block and after few minutes started operation. Throughout the per operative period,patient was given oxygen through nasal cannula 3L/min, his pulse rate remained 62-64/min, BP-140/90 mmHg, SPO 2 -99%. Two incremental doses (10mg) of Inj.Propofol were given in the peroperative period. The total operation time was 25 minutes. After completion of operation ,within ten minutes the patient opened his eyes, responded to vocal command. After one hour, he was shifted to general ward from postoperative ward and discharged from hospital in the next day. His operation was uneventful except oxygen desaturation for 90 seconds which occurred initially. Discussion:The combination of local anaesthesia with intravenous sedative and analgesic drugs is