In the spring of 2013 I visited my opthamologist for distorted vision in my right eye (I did not have any blind spots). He said I may have macular degeneration but recommended a retina specialist. I visited the specialist and he diagnosed me with macular pucker. I had surgery on 9/3 after which I still had some distortion but could not read as I had a blind spot in the center of my vision. The retina specialist said I had a macular hole and recommended surgery. As I had such an easy recovery from the macular pucker surgery, I agreed and had the surgery on 10/15. I came out of surgery utterly miserable. I had great pain in my right eye, I was faint/weak, nauseated and could barely raise my head, let alone stand up. I remained in recovery for around 4 hours during which my blood pressure skyrocketed after which they gave me something for the pain. The anesthesiologist stated he did not understand why the specialist did not give me a nerve block before the surgery (I was under general anesthesia for both surgeries). They literally had to force me out of recovery. When I confronted the retina specialist what the anesthesiologits stated and asked why I was not given a nerve block, he stated that the anesthesiologist is not knowledgeable of the patient and that the nerve block would wear off in 2 hours.
My question is: Is it acceptable procedure to not give a nerve block for macular hole surgery?
BTW: On 1/22 I had cataract surgery in the same eye and was given a nerve block with no pain/problems.