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Introduction. Penetrating keratoplasty (PKP) is performed under general anaesthesia or using retrobulbar or peribulbar anaesthesia1 combined with seventh cranial nerve akinesia. Segev F et al2 describes a combined topical anaestheic (Tetracaine 0.5%) and intracameral lidocaine and intravenous sedation for repeat PKP. We investigated the anaesthetic aspect of this procedure and describe a case series of corneal transplant surgery under topical anaesthesia. .

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