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Assessment of Pain in Glaucoma Patients Undergoing Micropulse Transscleral Laser Therapy
Background: This study aimed to assess the pain experienced during micropulse transscleral laser therapy (MPTLT) and overnight thereafter and explore the factors associated with the pain. Methods: This prospective study included 100 eyes of 81 glaucoma patients undergoing MPTLT under retrobulbar ane...
Autores principales: | , , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
MDPI
2023
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095597/ https://www.ncbi.nlm.nih.gov/pubmed/37048717 http://dx.doi.org/10.3390/jcm12072634 |
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author | Sukkee, Janrapee Taechajongjintana, Natnaree Ratanawongphaibul, Kitiya Itthipanichpong, Rath Manassakorn, Anita Tantisevi, Visanee Rojanapongpun, Prin Chansangpetch, Sunee |
author_facet | Sukkee, Janrapee Taechajongjintana, Natnaree Ratanawongphaibul, Kitiya Itthipanichpong, Rath Manassakorn, Anita Tantisevi, Visanee Rojanapongpun, Prin Chansangpetch, Sunee |
author_sort | Sukkee, Janrapee |
collection | PubMed |
description | Background: This study aimed to assess the pain experienced during micropulse transscleral laser therapy (MPTLT) and overnight thereafter and explore the factors associated with the pain. Methods: This prospective study included 100 eyes of 81 glaucoma patients undergoing MPTLT under retrobulbar anesthesia. All patients were asked to rate both types of pain using a numerical rating scale (NRS). The risk factors were explored using multivariable mixed-effects ordinal logistic regression. Results: The mean (SD) NRS pain score during the procedure was 3.57 (3.41) (range 0–10), which included no, mild, moderate, and severe pain in 30 (30%), 33 (33%), 17 (17%), and 20 (20%) eyes, respectively. The mean (SD) NRS score of overnight pain was 2.99 (2.28) (range 0–9), which included no, mild, moderate, and severe pain in 17 (17%), 59 (59%), 17 (17%), and 7 (7%) eyes, respectively. Twenty-seven (27%) eyes reported worse pain overnight than during the procedure. Increased age, initial intraocular pressure, and pain during the procedure were significantly associated with increased overnight pain (p < 0.05). Conclusions: Up to a fourth of eyes had worse pain after discharge. Older age, initial intraocular pressure, and pain during the procedure were risk factors for higher levels of overnight pain. |
format | Online Article Text |
id | pubmed-10095597 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2023 |
publisher | MDPI |
record_format | MEDLINE/PubMed |
spelling | pubmed-100955972023-04-13 Assessment of Pain in Glaucoma Patients Undergoing Micropulse Transscleral Laser Therapy Sukkee, Janrapee Taechajongjintana, Natnaree Ratanawongphaibul, Kitiya Itthipanichpong, Rath Manassakorn, Anita Tantisevi, Visanee Rojanapongpun, Prin Chansangpetch, Sunee J Clin Med Article Background: This study aimed to assess the pain experienced during micropulse transscleral laser therapy (MPTLT) and overnight thereafter and explore the factors associated with the pain. Methods: This prospective study included 100 eyes of 81 glaucoma patients undergoing MPTLT under retrobulbar anesthesia. All patients were asked to rate both types of pain using a numerical rating scale (NRS). The risk factors were explored using multivariable mixed-effects ordinal logistic regression. Results: The mean (SD) NRS pain score during the procedure was 3.57 (3.41) (range 0–10), which included no, mild, moderate, and severe pain in 30 (30%), 33 (33%), 17 (17%), and 20 (20%) eyes, respectively. The mean (SD) NRS score of overnight pain was 2.99 (2.28) (range 0–9), which included no, mild, moderate, and severe pain in 17 (17%), 59 (59%), 17 (17%), and 7 (7%) eyes, respectively. Twenty-seven (27%) eyes reported worse pain overnight than during the procedure. Increased age, initial intraocular pressure, and pain during the procedure were significantly associated with increased overnight pain (p < 0.05). Conclusions: Up to a fourth of eyes had worse pain after discharge. Older age, initial intraocular pressure, and pain during the procedure were risk factors for higher levels of overnight pain. MDPI 2023-03-31 /pmc/articles/PMC10095597/ /pubmed/37048717 http://dx.doi.org/10.3390/jcm12072634 Text en © 2023 by the authors. https://creativecommons.org/licenses/by/4.0/Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). |
spellingShingle | Article Sukkee, Janrapee Taechajongjintana, Natnaree Ratanawongphaibul, Kitiya Itthipanichpong, Rath Manassakorn, Anita Tantisevi, Visanee Rojanapongpun, Prin Chansangpetch, Sunee Assessment of Pain in Glaucoma Patients Undergoing Micropulse Transscleral Laser Therapy |
title | Assessment of Pain in Glaucoma Patients Undergoing Micropulse Transscleral Laser Therapy |
title_full | Assessment of Pain in Glaucoma Patients Undergoing Micropulse Transscleral Laser Therapy |
title_fullStr | Assessment of Pain in Glaucoma Patients Undergoing Micropulse Transscleral Laser Therapy |
title_full_unstemmed | Assessment of Pain in Glaucoma Patients Undergoing Micropulse Transscleral Laser Therapy |
title_short | Assessment of Pain in Glaucoma Patients Undergoing Micropulse Transscleral Laser Therapy |
title_sort | assessment of pain in glaucoma patients undergoing micropulse transscleral laser therapy |
topic | Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10095597/ https://www.ncbi.nlm.nih.gov/pubmed/37048717 http://dx.doi.org/10.3390/jcm12072634 |
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