Comparison of pain experience and time required for pre-planned navigated peripheral laser versus conventional multispot laser in the treatment of diabetic retinopathy

Amoroso, Francesca; Pedinielli, Alexandre; Astroz, Polina; Semoun, Oudy; Capuano, Vittorio; Mière, Alexandra; Souied, Eric H.

doi:10.1007/s00592-019-01455-x

Cited by 4 publications

(8 citation statements)

References 17 publications

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“…2,6 Panretinal photocoagulation (PRP) has been considered as the standard of care in the management of advanced diabetic retinopathy since its introduction in the late 1970s. 7,8 In PRP, laser burns are applied at the retinal periphery using slit lamp or indirect ophthalmoscopebased systems. 9 Laser energy is primarily absorbed by melanocytes located at the retinal pigment epithelium layer.…”

Section: Introductionmentioning

confidence: 99%

“…A good understanding of pain in relation to laser platforms can allow treatment optimization. 8 Majority of the studies in this review employed a 532-nm green laser. The use of longer wavelengths, specifically those in the red to infrared range, allows deeper penetration into the sensoryrich choroid and greater pain sensation.…”

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confidence: 99%

“…35 Another advantage of using short-pulse over long-pulse settings is the preservation of the patient's visual fields, as the burns expand less over time. 7,8 Nagpal et al 7 found that 200-μm spots expanded to 430-μm and 310-μm for conventional SSL and conventional MSL, respectively, after 3 months of therapy. In addition, treatment time is significantly reduced, which may also improve compliance.…”

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confidence: 99%

“…In addition, treatment time is significantly reduced, which may also improve compliance. 8,11,45 Nagpal et al 7 reported reduced total time of 1.43 minutes using conventional MSL compared to 4.53 minutes using conventional SSL.…”

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confidence: 99%

“…This is also the only study that submit your manuscript | www.dovepress.com compared pain scores using the pre-planned mode of NAVILAS ® , in contrast to other studies by Kim, 22 Chhablani, 34 Polat, 36 and Inan 19 where the pattern mode was employed. Amoroso et al 8 attributed lower pain scores using NNL to the short breaks in between the application of each spot, allowing retinal tissue restoration and decreased pain stimulation. Spatial summation of pain is also minimized using the pre-planned mode of the NNL wherein the linear delivery yields a greater separation of the first and last laser spots.…”

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confidence: 99%

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Comparison of Pain Scores Among Patients Undergoing Conventional and Novel Panretinal Photocoagulation for Diabetic Retinopathy: A Systematic Review

Azarcon

Artiaga

2021

OPTH

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Section: Introductionmentioning

confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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confidence: 99%

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Comparison of Pain Scores Among Patients Undergoing Conventional and Novel Panretinal Photocoagulation for Diabetic Retinopathy: A Systematic Review

Azarcon

Artiaga

2021

OPTH

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Topical anesthesia versus topical and subconjunctival anesthesia combined in diabetic retinopathy photocoagulation

Mafrici,

Fragiotta,

Tarsitano

et al. 2023

European Journal of Ophthalmology

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Purpose comparison between two anesthetic techniques on the ability to reduce pain during panretinal photocoagulation (PRP) treatment. Methods Observational retrospective single center study. Medical charts of patients who underwent PRP for proliferative diabetic retinopathy were revised. Patients were included if they had the first eye treated with oxybuprocaine hydrochloride drops, and in case of severe pain, the fellow eye received topical anesthesia in combination with 2% subconjunctival lidocaine. The groups were compared for pain perception using an analog visual scale (VAS), number of laser spots, number of interruptions, and laser session duration. Results Forty-two eyes of 21 patients (mean age: 58.3 ± 7.6 years) were analyzed. The mean number of laser spots was significantly higher under combined anesthesia (+84.2 ± 155.9 spots, p = 0.01), with a reduced time for laser execution (−2.5 ± 3.12, p = 0.0008). The use of combined anesthesia significantly decreased the number of interruptions (−40.8%, p < 0.0001) into a single session. On the pain grading scale, the pain perception was significantly lower in the combined anesthesia group ( p < 0.0001). In eyes receiving topical anesthesia the treatment was stopped for pain in 5 eyes (23.8%), while 5 eyes under combined anesthesia presented subconjunctival hemorrhage (23.8%). Conclusion Using combined anesthesia in patients subjected to PRP appeared to reduce pain perception limiting the treatment duration and the interruptions for pain without significant complications. Further studies on a larger scale would be desirable to replicate such findings and standardize the analgesic procedures in ophthalmology.

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Diabetes and the retinal changes in the eye: a threat to the sight

Srivastava,

Chandra,

Nitesh

2024

Int J Community Med Public Health

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This article discusses the importance of diabetic retinopathy, an eye disease associated with diabetes, which is a systemic disease. The research question addresses the impact of diabetes on the retina of the eye through infection and clinical features. This approach is designed to improve the relationship between early diagnosis and treatment of disease, including laser surgery, corticosteroid injections, and vitrectomy. This article focuses on chronic diabetic retinopathy and eye examination recommendations in the United States and the United Kingdom. To prevent and manage diabetic retinopathy, it is recommended that diabetic patients have regular eye examinations. The results of this study include the importance of good glycaemic control, injections, photocoagulation, and vitrectomy as treatment options. Intravitreal long-acting steroids may also temporarily improve visual acuity by reducing macular oedema. However, long-term use of the drug may cause side effects and may lead to cataracts, steroid glaucoma, and endophthalmitis. It may cause reasons. A recent study of the disease in India shows that the incidence of high blood sugar and its effects on the eye is mainly diabetic retinopathy, including cataracts, neovascular glaucoma and even retinal detachment, which are very dangerous for eye health. Therefore, it is important to inform patients about this disease and perform timely screening because patients need to be informed carefully.

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Comparison of pain experience and time required for pre-planned navigated peripheral laser versus conventional multispot laser in the treatment of diabetic retinopathy

Cited by 4 publications

References 17 publications

Comparison of Pain Scores Among Patients Undergoing Conventional and Novel Panretinal Photocoagulation for Diabetic Retinopathy: A Systematic Review

Comparison of Pain Scores Among Patients Undergoing Conventional and Novel Panretinal Photocoagulation for Diabetic Retinopathy: A Systematic Review

Topical anesthesia versus topical and subconjunctival anesthesia combined in diabetic retinopathy photocoagulation

Diabetes and the retinal changes in the eye: a threat to the sight

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