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Monitored anesthesia care in ophthalmic surgeries

Monitored anesthesia care (MAC) is a specific anesthesia service for diagnostic and therapeutic procedures. It includes safe conscious sedation, adequate pain relief, and measures to allay anxiety. Even though it involves minimal anesthetic intervention, it is essential for an anesthetist to know about the patient history. Many ophthalmic drugs have significant anesthetic implications, and many anesthetic drugs cause significant intraocular pressure changes. In this article, we have highlighted the importance of MAC in ophthalmic procedures and implications of various anesthetic agents in eye surgeries. The various ophthalmic blocks and their complications and the toxicity which can occur with the use of local anesthetics have also been touched upon.