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The use of topical anaesthesia during routine phacoemulsification is becoming increasingly common. In a series of annual surveys of members of the American Society of Cataract and Refractive Surgery,1–3 the proportion of respondents who used topical anaesthesia during cataract surgery increased from 8% in 19951 to 61% in 2003.3 In the latter survey, 73% of respondents who used topical anaesthesia supplemented its effect with intracameral lidocaine. …
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