“…1 Immediate visual recovery, avoidance of postoperative ptosis or diplopia, decreased risk to the globe and optic nerve, decreased patient anxiety, and improved intraoperative patient cooperation are all cited as benefits that outweigh the possibility of increased pain. 2,3 A prospective crossover study of 36 bilateral cataract extraction recipients using peribulbar block then topical anesthesia, or vice versa, 4 found no significant differences in pain. More recently, a study of 57 patients having second cataract extraction 5 found no difference in mean pain scores when compared with a second, independent population of 70 patients having first cataract extraction.…”