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Local anaesthesia for eye surgery

Dr Swinhoe makes a number of points with which we are in sympathy. His response is not dissimilar to those received after our first article (Anaesthesia 1989; 44: 953-8). Nevertheless, a counsel of perfection is still desirable. The patient for eye surgery had received a sleeping tablet as premedication. However, we find the combination of pethidine and a phenothiazine more desirable and satisfactory in this group of patients and do not use a strongly anticholinergic agent.