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of the lateral limbus. During performance of the block patients should be instructed to direct their eyes in the primary gaze position rather than the old teaching of upward gaze with adduction, which brings the optic nerve closer to the needle tip.L.5.6 Malposition should be suspected if there is resistance to i n j e ~ t i o n . ~ Peribulbar techniques may, as a n alternative to retrobulbar block, be less prone to sequelae of the above type, although onset of akinesia will be somewhat delayed.' In addition, having anaesthetists perform orbital blocks may be safer for the patient because of closer m ~ n i t o r i n g . ~ . ~