Efficacy of Oral Alprazolam and Mefenamic Acid in Relieving Pain During Pan Retinal Photocoagulation

Abstract

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 Purpose: To find out the efficacy of oral Alprazolam and Mefenamic acid in relieving pain during pan retinal photocoagulation in patients with proliferative diabetic retinopathy.
 Study Design: Quasi experimental study.
 Place and Duration of Study: Department of Ophthalmology, Al-Ehsan Eye Hospital, Lahore, from January 2018 to December 2018.
 Methods: Patients were divided into two groups; groups A received one tablet of Xanax (Alprazolam 0.5 mg) and 2 tablets of Ponston Forte (Mefenamic acid 500 mg) an hour before PRP. In group B no pain relieving medicines were prescribed. Proparacaine hydrochloride 0.5% eye drops were instilled in the eye to achieve corneal anesthesia before the procedure in both the groups. Pain was scored, 15 minutes after PRP, using standard verbal rating scale and results were analyzed. Paired sample t-test was used to measure the mean difference in pain between the two groups. A p value of less than 0.01% was considered significant.
 Results: Five hundred and sixty patients with proliferative diabetic retinopathy (PDR) requiring Pan Retinal Photocoagulation (PRP) were enrolled. There were 272 males and 288 females. Mean age of patients was 64.0 ± 6.8 years. Mean pain score for group A was 4.0 ± 0.6 and for group B was 2.1 ± 0.3. Difference in pain score felt by each group was -1.93 ± 0.7 with significant p value of ˂ 0.01%.
 Conclusion: Oral administration of Alprazolam and Mefenamic acid one hour before PRP in patients with proliferative diabetic retinopathy was effective in reducing pain and in attaining patient cooperation during the procedure.
 Key Words: Pan Retinal Photocoagulation, Pain, Proliferative Diabetic Retinopathy, Alprazolam, Mefenamic acid.

Comparison of effect of machine muteness to reduce noise anxiety vs regular settings on patient compliance during pan-retinal photocoagulation

“…Efficacy of different oral analgesics has also been compared. 3 While reviewing the literature, it was noted that noise anxiety in different hospital settings adversely affected the patients. The purpose of this study is to document the pain which patients felt with this procedure while the auditory stimulus coming from the machine was masked.…”