The effect of intravitreal injection into different quadrants on pain score

Özlem GÜLER; Selma URFALIOĞLU; Mete GÜLER

doi:https://doi.org/10.7197/cmj.vi.540726

Makale detayları

The effect of intravitreal injection into different quadrants on pain score

Yazarlar:

Özlem GÜLER | Selma URFALIOĞLU | Mete GÜLER

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Cumhuriyet Medical Journal 2019 Vol.41 Issue 3, pp.653-657

Belge Tipi:

Makale

Yayın Tarihi:

9/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000922519

DOI:

https://doi.org/10.7197/cmj.vi.540726

Özet:

 


Objective: To determine the effect of intravitreal injection into different
quadrants on pain score and injection comfort. 


Method: 304
patients were divided into 8 groups that included 38 patients in each. The
right and left eyes of the patients were divided into 4 quadrants, superior
temporal, inferior temporal, superior nasal, and inferior nasal. Intravitreal
injections were performed in the room only used for this purpose and by an
experienced ophthalmologist. To eliminate drug-related factors only
intravitreal ranibizumab applied patients were included in the study. Injections
were performed on one of these quadrants 3.5 mm away from the limbus using 30
gauge needle. All injections were performed under topical proparacaine HCl
anesthesia. The severity of the patient's pain after the injection was evaluated
by using the visual analog scale. Additionally the patient's stinging,
injection comfort and injection safety were also assessed.


Results: 176
(57.9%) of the participants were male and 128 (42.1%) were female. The mean age
of all participants was 61,84±12,49 (20-90). Age (p=0,793), gender (p=0,534),
pain score (p=0,165), stinging score (p=0,264), patient comfort score (p=0,555),
injection safety score (p=0,079) were similar between the groups. Pain
(p<0,001) and stinging (p<0,001) scores were higher in females
(p<0,001). Patient comfort (p=0,001) and injection safety (p=0,019) scores
were lower in females. 









Conclusions: No difference was found
between the quadrants in terms of pain score. Therefore, the physicians may prefer the most comfortable quadrant for themselves
and for their patients in intravitreal injection.


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Makale detayları

The effect of intravitreal injection into different quadrants on pain score

Yazarlar: Özlem GÜLER | Selma URFALIOĞLU | Mete GÜLER

Ana Başlıklar: Sağlık teşvikleri

Dergi: Cumhuriyet Medical Journal 2019 Vol.41 Issue 3, pp.653-657

Belge Tipi: Makale

Yayın Tarihi: 9/2019

Belge Dili: Türkçe

Document ID (Org No.): 2000922519

DOI: https://doi.org/10.7197/cmj.vi.540726

Sayı

Yazarlar:

Özlem GÜLER | Selma URFALIOĞLU | Mete GÜLER

Ana Başlıklar:

Sağlık teşvikleri

Dergi:

Cumhuriyet Medical Journal 2019 Vol.41 Issue 3, pp.653-657

Belge Tipi:

Makale

Yayın Tarihi:

9/2019

Belge Dili:

Türkçe

Document ID (Org No.):

2000922519

DOI:

https://doi.org/10.7197/cmj.vi.540726