Orbital Blocks has partnered with Ophthalmic Anesthesia Society (OAS).OAS is an organization of experts whose goal is to provide the highest quality care for patients undergoing eye surgery. Please visit https://eyeanesthesia.org/ to learn more.
About Orbital Blocks
Randy Harvey, CRNA, FAANA (Emeritus) graduated from the Nurse Anesthesia Program at Duke University in 1980 and began his anesthesia career at Tampa General Hospital. In 1981, he established an outpatient and hospital locum anesthesia practice that supported the expanding field of ophthalmic office-based and ambulatory surgery. From 1985 to 2023, he served as Chief of Anesthesia at Florida Eye Clinic ASC, while continuing both outpatient and hospital-based clinical practice.
Mr. Harvey is a founding member of the Ophthalmic Anesthesia Society, serving as a board member and lecturer. In response to the growing need for training in ophthalmic regional anesthesia, he developed an orbital eye simulator and established a postgraduate Ophthalmic Block Workshop in 1991 that continues today through the Society.
He authored the original chapter on ophthalmic anesthesia in the textbook Nurse Anesthesia in 1997, focusing on orbital regional block techniques, with continued updates in subsequent editions. In 2011, he co-produced the instructional video A Geometrical Method Approach to an Orbital Block, later accepted for publication by the American Academy of Ophthalmology. In 2018, he collaborated with BioDigital to develop a 3-D online orbital eye model for teaching orbital anatomy and ophthalmic block techniques.
In recognition of his contributions to ophthalmic anesthesia, the American Association of Nurse Anesthetists named him Outstanding Clinical Practitioner of the Year in 2016 and inducted him as a Fellow in 2022. After a 45-year career in clinical anesthesia, he retired in 2025 and continues to teach workshops and provide consulting services.
About the Author
Randy Harvey is the Chief of Anesthesia and Department Manager at the Florida Eye Clinic Ambulatory Surgery Center Altamonte Springs, Florida. Mr. Harvey has performed well over 50,000 ophthalmic blocks in his career. He utilizes his more than 30 years of experience to educate the participants in the latest trends in ophthalmic anesthesia with didactic video simulator hands-on training and classroom discussion. He has lectured extensively on ophthalmic anesthesia in seminars, including presentations to state and national anesthesia organizations. He has also presented training programs to private practice anesthesiology groups in Florida, Massachusetts, North Carolina, Texas, and Virginia. In 1991 he created the Ophthalmic Block Workshop workshop in conjunction with NWAS. He also developed an orbital eye-model simulator, which allows a hands-on experience for the participants. This program has run continuously for 25 years and has educated hundreds of anesthesiologists, CRNAs, and ophthalmologists in the art and science of ophthalmic anesthesia. Mr. Harvey was the recipient of the 31st Annual Alice Magaw Outstanding Clinical Anesthesia Practitioner Award by AANA. Mr. Harvey is a founding Member of the Ophthalmic Anesthesia Society (OAS) and served the OAS as a Scientific Board Member, Secretary and Co-Chair of the 2014 Annual OAS Meeting. Mr. Harvey authored a chapter on Ophthalmic Eye Block Techniques in the textbook, Nurse Anesthesia (WB Saunders/Elsevier).
In Person Ophthalmic Block Workshop
Our next Ophthalmic Block workshop through Ophthalmic Anesthesia Society is on Sunday March 7, 2027 in Phoenix, AZ.
Please follow this link to register and get all the details: https://eyeanesthesia.org/AMplaceholder
If you have any other questions do not hesitate to reach out! randolfharvey@gmail.com
3D Orbital Anatomy
We have collaborated with BioDigital to create a custom 3D Eye Model for the purpose of teaching ophthalmic blocks.
Continuing Medical Education Courses
Let’s all start using the same language, safest techniques, and the best preventative care today. Check out our courses below!
Orbital Epidural Anatomy
Provides a deep dive into orbital anatomy and how it relates to ophthalmic blocks
Pharmacology for Ophthalmic Anesthesia
Explore the selection, dosing, and orbital distribution of local anesthetics
Orbital Epidural Blocks
Learn ophthalmic block techniques that can improve the quality and safety of your orbital blocks by an interactive demonstration and lecture.
Complications & Sequelae in Ophthalmic Anesthesia
Review adverse events of ophthalmic blocks and learn techniques, including the geometrical approach, to minimize complications
Managing the Awake Patient
Learn how to help manage the stress, anxiety, and physiological care of the patient during the perioperative procedure with practical problem solving tips for issues that arise in real-time
Risk Management and Quality Assurance
Review the overall risks in providing anesthesia services in an ophthalmic surgery center and demonstrate how clinical data can used to evaluate the quality of patient care
Program Benefits
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Improved Care
We provide practitioners with the online opportunity to improve the quality and safety of their care through our detailed courses.
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Reduced Risk
By increasing the knowledge and confidence of practitioners, we can find ways to reduce the risks of practice.
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Online Learning
We provide flexibility with easy online access. Choose a single course or the entire program from the comfort of your own home saving you time and money.
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3-D Anatomy
Our 3-D interactive orbital eye model will provide the Physician, CRNA, SRNA, and students with a clearer understanding of the complex orbital anatomy.
Blog posts
Ophthalmic Block Demonstrations
Peri Retrobulbar Block
A safe and effective Peri Retrobulbar Block Technique
Preview of Robert D. Acland's, The Eye and Its Surroundings
Check out our courses and see how we use 3D anatomy and licensed cadaver videos to support your continuing medical education in ophthalmic anesthesia.
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