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These day-procedures are commonly performed under procedural sedation.
Eye surgery is most often done with a mixture of local anaesthesia and sedation.
Local anaesthesia consists of numbing drops to the front of the eye (cornea) and if needed this is then supplemented with an injection to the eye if needed.
An intravenous cannula is placed into a vein and a small amount of sedation is given to make the operation more pleasant.
Many sedated patients will not remember the entire eye operation. Some patient's will have some recall of fragments of the process or operation. Although the idea of being awake for eye surgery frightens most patients, in practice, tolerate being awake or gently sedated for eye surgery extremely well.
It is important to alert the anaesthetist if one is uncomfortable during the procedure.
Usually paracetamol is sufficient for any discomfort afterwards.
Please see risks or anaesthesia for more information here.