Anaesthesia for Eye Surgery

Will I be awake, and will it hurt?

Most eye operations in adults, including cataract surgery, are done with the eye numbed while you stay awake and comfortable. You will not see the surgery in detail; most people see only bright lights and colours. Children and some adults have a general anaesthetic.

Types of anaesthesia

TypeHow it is givenUsed for
TopicalNumbing drops or gel, sometimes with a little anaesthetic inside the eyeMost cataract surgery, injections, laser
Sub-TenonAnaesthetic placed around the eye through a tiny opening with a blunt cannulaLonger or more complex surgery; safe with blood thinners
Peribulbar or retrobulbar blockAn injection beside the eye that numbs it and stops it movingComplex cataract, retina and corneal surgery
SedationMedicine through a vein to relax you, added to local anaesthesiaAnxious patients
General anaesthesiaFully asleepChildren, squint surgery, some retina and orbit surgery

What you will feel

  • Pressure, water flowing and bright lights are normal; sharp pain is not, so tell the surgeon and more anaesthetic can be given.
  • Try to stay still and breathe normally. You can talk if you need to, but avoid moving your head.
  • A drape covers your face but air flows underneath it.

Preparing

  • Follow the fasting instructions given. For local anaesthesia you can usually eat a light meal; for sedation or general anaesthesia you must not eat for about 6 hours.
  • Blood thinners: do not stop aspirin, clopidogrel, warfarin or other anticoagulants without asking. Most can be continued for cataract surgery with topical or sub-Tenon anaesthesia. An INR check may be needed for warfarin.
  • Take your blood pressure and diabetes medicines as usual unless told otherwise; bring a list of all medicines.
  • Tell us if you cannot lie flat, have a cough or tremor, or feel claustrophobic.

Children

For a general anaesthetic, children must stop food and milk for 6 hours, breast milk for 4 hours, and clear fluids for 1 hour before surgery (or as instructed by the anaesthetist). A parent can usually stay until the child is asleep and be there when they wake.

Frequently asked questions

Will I see the operation?

No. You see light, movement and colours, but not the instruments in detail.

Can I have general anaesthesia for cataract surgery?

Yes, if needed, for example if you cannot lie still. Most people do not need it.

Is the injection around the eye painful?

It stings briefly. Many surgeons use numbing drops first.

Can I go home the same day?

Yes, almost all eye surgery is day surgery. Someone must take you home.

Related: Pre-Operative Guide: Cataract & LASIK Surgery, Cataract Surgery in Ahmedabad, Aspirin, Blood Thinners and Eye Surgery: Continue or Stop?.

This leaflet gives general information and does not replace advice from your own eye doctor. Reviewed by Dr. Dhaval Patel, MD (Ophthalmology, AIIMS New Delhi), November 2026.

Questions about this?

Sadbhaav Eye & Dental Clinic, Motera, Ahmedabad. Dr. Dhaval Patel, MD (AIIMS New Delhi). Monday to Saturday, 10 am to 1 pm and 5 pm to 8 pm. For a serious eye injury outside clinic hours, go to the nearest eye hospital or emergency department.

Dedicated to Your Smile, Devoted to Your Sight

Where healthy eyes and confident smiles come together.

Qualification from AIIMS

Eye care by an AIIMS-trained ophthalmologist; dental care by an MDS endodontist — both dedicated specialists in their respective fields.

Vast Experience

Dr. Dhaval Patel brings 15+ years of clinical experience since starting his ophthalmology residency at AIIMS, New Delhi in 2011.

Bilingual, Patient-Friendly Team

Our staff communicates comfortably in both Gujarati and English, so every step of your visit — from reception to aftercare instructions — is easy to follow.

International Camps

Dr Dhaval Patel has conducted many eye camps in Africa and visits yearly for the same.