A survey of local anaesthetic related ocular perforation in the United
Kingdom is reported. A total of 531 consultant ophthalmologists were
sent a postal questionnaire and there was a 71% response rate. Thirty
respondents reported 39 perforations occurring under their care during
the previous year. Details of the cases are presented. The rate of lo
cal anaesthetic related ocular perforation is higher than in previous
reported series. Efforts to reduce the incidence will require consider
ation of alternative techniques, audit, and training.