AIM: To evaluate efficacy and safety of laryngeal mask anesthesia(LMA)and endotracheal intubation anesthesia and effect on intraocular lens(IOP)for paediatric ophthalmic surgery.

METHODS: Totally 90 patients under general anesthesia in paediatric ophthalmic surgery were equally randomly divided into LMA group(group L)and endotracheal intubation group(group T). Before induction of anesthesia(T₀), immediately after insert LMA / endotracheal tube(T₁), 3 minutes after insert LMA / endotracheal tube(T₂), immediately after extubation(T₃), 3 minutes after extubation(T₄), the systemic blood pressure(SBP), diastolic blood pressure(DBP), heart rate(HR)and IOP were recorded. The time of extubation, and the incidence of anesthetic complication were recorded.

RESULTS: SBP, HR, IOP during T₁, T₂, T₃, T₄ were significantly higher in group T than T₀, and those in group L(P<0.05). SBP, HR, IOP were not significantly changed in group L during each time.

CONCLUSION: Compared with endotracheal intubation, LMA is an effective, safety anesthesia for ophthalmic surgery in children, with the advantages of hemodynamic stability, mild airway trauma, maintain IOP stability, fewer perioperative complications and anesthesia revive fast.