Abstract： Purpose:Comparison of topical vs general aneasthesia for strabismus surgery.Methods:Preoperative patients (aged 6～12 years) were divided into two study groups:the topical aneasthesia group (n=22),and the general aneasthesia group (n=21).The study groups were compared on the following measures:analgesic effect,surgical correction effect,eye-heart reflex,preoperative preparation time.and operation time,using t-tests or X2tests where appropriate.Results:Compared with the general aneasthesia group,the topical aneasthesia group gained better surgical correction results(P＜0.05),had a lower rate of eye-heart reflex (P＜0.05),and had a shorter preoperative preparation time (P＜0.001).No significant difference was observed between the groups in terms of the analgesic effect or operation time (P＞0.05).Conclusion:Topical aneasthesia represents a safe and effective alternative to general aneasthesia for strabismus surgery in children.