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It will be limited to a comparison of peribulbar block, sub-Tenons block and topical plus intracameral anaesthesia alone, as these are those most frequently used at the author's place of work. It will focus on both the surgeons\u2019 preferences and the patients\u2019 perceptions and comfort pre-, peri- and postoperatively. A description of each technique and the drugs available will be followed with a discussion of the patients\u2019 perceptions and pain levels. Included will be a summary of the patients\u2019 anxiety levels and the benefits of any sedation. Throughout, general and specific complications will be debated. 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