Neuroleptanalgesia, using droperidol and fentanyl, as an adjunct to local anaesthesia, was assessed in 100 adult patients undergoing intraocular surgery. The method described offered the following advantages. (1) A satisfactory state of preoperative, operative, and postoperative sedation of the patient was obtained. (2) Local anaesthesia was performed in a relatively painless environment. (3) Monitoring of patient’s vital signs to detect and treat any respiratory or circulatory depression was provided. (4) The patient and surgeon were reassured that an anaesthetist was looking after the patient. (5) The surgeon was able to devote his full attention to the operation. (6) Complications and morbidity were low.