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What Is a Retrobulbar Injection?

A retrobulbar injection is an anesthetic injection given behind the eyeball to numb the eye and reduce movement. It is used for some eye surgeries and procedures when deeper anesthesia is needed. The injection is performed by trained eye clinicians. Not every surgery uses this type of block.

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What Is a Retrobulbar Injection?

A retrobulbar injection is an anesthetic injection given behind the eyeball to numb the eye and reduce movement. It is used for some eye surgeries and procedures when deeper anesthesia is needed. The injection is performed by trained eye clinicians. Not every surgery uses this type of block.

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Why Doctors Use a Retrobulbar Block

The goal is to reduce pain and keep the eye steady during a procedure. It can be used for certain cataract cases, retinal procedures, or other eye surgeries depending on the plan. Some clinics use other methods instead, like topical numbing drops or different injection blocks. The choice depends on the surgery and the patient.

What It Feels Like and What Happens Next

You may feel pressure around the eye and brief discomfort during the injection. The eyelids and eye can feel heavy as the numbing takes effect. Vision can be blurry or dark for a short time because the eye is numb and the pupil may dilate. Staff will monitor you and check that the block is working before starting.

Possible Side Effects and Risks

Common short-term effects include bruising, swelling, or a droopy eyelid that improves as the block wears off. More serious risks can include bleeding behind the eye, infection, or damage to nearby structures, though these are less common. Tell your clinician right away if you have severe pain or rapidly increasing swelling. Your team will review risks based on your health history.

Aftercare and When to Call for Help

Protect the numb eye from rubbing until feeling returns. Follow post-op drop instructions and attend follow-up visits. Call right away if pain becomes severe, vision drops suddenly, or the eye becomes very red with discharge. If you feel faint or short of breath after an injection, seek urgent care.

Frequently Asked Questions About Retrobulbar Injections

Does a Retrobulbar Injection Hurt?

Most people feel pressure and brief discomfort, then numbness. Anxiety can make it feel worse, so tell your clinician if you are nervous. The goal is comfort during the surgery.

How Long Does the Numbness Last?

Numbness usually lasts a few hours, but timing varies by medication and dose. Lid heaviness can linger as it wears off. Your clinic can give a typical range for your case.

What Are the Most Common Side Effects?

Bruising, swelling, and temporary droopy lid are common. Temporary blurred vision can also happen while the block is active. These effects usually improve as feeling returns.

Can You Drive After a Retrobulbar Block?

No, you should not drive right after a block or eye surgery. Your vision may be blurry, and the eye can feel uncoordinated. Arrange a ride home.

References

1. Retrobulbar Block. Gutierrez JJP. https://www.ncbi.nlm.nih.gov/books/NBK557448/. Date Accessed February 20, 2026.

2. Retrobulbar Anesthesia. DelMonte DW. https://eyewiki.org/Retrobulbar_Anesthesia. Date Accessed February 20, 2026.

3. Regional Anesthesia for Ophthalmic Surgery. Lea R, Nguyen K. https://www.openanesthesia.org/keywords/regional-anesthesia-for-ophthalmic-surgery/. Date Accessed February 20, 2026.

4. Retrobulbar Block, Peribulbar Block and Common Nerve Blocks in Ophthalmology. Pramanik S, Doan A. https://webeye.ophth.uiowa.edu/eyeforum/tutorials/retrobulbar-nerve-blocks.htm. Date Accessed February 20, 2026.

5. Real-time Ultrasound-guided Retrobulbar Block vs Blind Technique for Cataract Surgery (Pilot Study). Zaghloul Foad AZ, et al. https://pmc.ncbi.nlm.nih.gov/articles/PMC6287535/. Date Accessed February 20, 2026.