Ophthalmic anaesthesia is a top choice among the upcoming sub, Specialities in the recent years. The varied suitable age range for patients right from preterm, Neonate, To geriatrics with multiple congenital and systemic disorders renders it as a very challenging sub speciality. Ophthalmic surgeries are done under local and/or general anaesthesia and this provides several unique challenges for the anaesthesiologists. Surgical duration varies from 10, 15 minutes to prolonged surgery 5, 6hours . The intricacies of ophthalmic anaesthesia includes management of its consequences, Prevention of oculocardiac reflex, Regulation of control of, Intraocular pressure intra ocular gas expansion and the necessity for deal with possible systemic effects of ophthalmic drugs.