ABSTRACT
The procedure can be performed under the anesthesia of surgeon’s choice. I perform it under topical anesthesia. One drop of 0.5% Proparacaine is instilled seven times during 45 minutes prior to surgery. The last drop is instilled after the peritomy. No sedation is used and a constant surgeon-patient communication is maintained. Patients are told to report immediately if they feel pain. If pain is complained, 0.75 cc of 2% Lignocaine is infused through a blunt canula in the subtenon space and if required at any stage of surgery, 0.5 cc of Lignocaine free of preservative is irrigated in the anterior chamber.
