Background:Regional anesthesia is a preferred technique for ophthalmic surgery.

Objectives:Using the peribulbar approach to perform cataract surgery,we aimed to determine if the addition of atracurium to a local anesthetic mixture affected the onset and duration of akinesia of the globe and eyelid.

Method:120 individuals scheduled for peribulbar block during cataract surgery participated in this prospective,randomized,double-blind investigation.Two groups were formed from the patients by random assignment.There is a control group (Group C) and an atracurium group (Group A).Six mliliimeters of a local anesthetic were used:two milliliters of 0.5% bupivacaine,one milliliter of 2% lidocaine mixed with hyaluronidase(150 U) ,two milliliters of 2% lidocaine, and one milliliter of 0.9% saline for the control group, and adding five milligrams of atracurium,at a dosage of 0.05 mg/kg, mixed with one milliliter of 0.9% saline,for the study group .

ResultsGroup A had substantially greater upward,downward, nasal,and temporal globe akinesia scores than groupC distribution of orbicularis function scores,group A had a substantially greater percentage of patients with a score of 2 (76.7%) compared to the control group (43.3%).Group A had a considerably greater percentage of instances (56.7%) when it came to the distribution of levator function scores compared to group C (46.7%). Group A had significantly higher patient satisfaction scores (P value<0.05) compared to group C. Group A patients reported far less pain than the control group at the end of the procedure, as well as 1 hour,2h,6h,and 24h later.

Conclusion:Adding atracurium to local anesthetic showed superior outcomes in muscle Akinesia ,pain management and patient satisfaction.