Original Research Article
Year: 2020 | Month: October | Volume: 7 | Issue: 10 | Pages: 253-257
Patient Pain during Intravitreal Injection under Modified Topical Anesthesia - A Comparative Study
Ishfaq Ahmad Sofi1,Bipul Kumar Singh2
1MS. Lecturer, Postgraduate Department of Ophthalmology, Government Medical College, Jammu..
2MBBS. Postgraduate Resident, Department of Hospital Administration, Armed Force Medical College, Pune.
Corresponding Author:Ishfaq Ahmad Sofi
ABSTRACT
Purpose: To compare the pain experienced by the patients during intravitreal injection under two different techniques of topical anesthesia.
Materials and Methods: Total ninety-four, treatment-naive, female patients, receiving intravitreal injections (Ranibizumab/ Bevacizumab) were included in this prospective study. They were randomized to either of the techniques of anesthesia. Group A (n=47) 0.5% proparacaine eye drops. Group B (n=47) 0.5% proparacaine eye drops plus proparacaine-soaked cotton bud. Immediately after the injection, each patient was given a visual analog scale (VAS) to rate their pain experienced during the injection between 0 (no pain) and 10 (worst-pain, unbearable).
Results: Mean VAS pain score was 2.32 ±2.20 in group A and 2.11 ±3.42 in group B, with no statistically significant difference (p = 0.170) between the two groups. Surgeon satisfaction was significantly better in Group B (7.06 ±0.89 in Group A and 8.58 ±0.62 in Group B, p=0.04).
Conclusion: Although there was no significant difference in VAS pain scores between the groups but surgeon satisfaction was significantly higher in group B using proparacaine soaked cotton bud at the injection site in addition to proparacaine eye drops.
Keywords: Pain, Visual Analog Scale, Intravitreal Injection, Topical Anesthesia.
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