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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...

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Autores principales: Sukkee, Janrapee, Taechajongjintana, Natnaree, Ratanawongphaibul, Kitiya, Itthipanichpong, Rath, Manassakorn, Anita, Tantisevi, Visanee, Rojanapongpun, Prin, Chansangpetch, Sunee
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2023
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.
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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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