AIM:To observe the oculocardiac reflex during retinal detachment surgery with different anesthesia.METHODS:The retrobulbar block anesthesia and balanced anesthesia for scleral buckling of the retinal detachment were compared.109 eyes were randomly divided into two groups,control group and treatment group,to observe the effects of surgery.Blood pressure,heart rate,oculocardiac reflex and degree of blood oxygen saturation were compared.RESULTS:The balanced anesthesia was better than the retrobulbar block anesthesia in scleral buckling.The oculocardiac reflex incidence rate was lower.Changes of systolic pressure,diastolic pressure,mean degree of blood oxygen saturation were less.The effectiveness of anesthesia was good.Comparing the two methods,there was statistical significance(P<0.01).CONCLUSION:The balanced anesthesia for scleral buckling is more safe,with less complication,high patient satisfaction and cooperation.