Postoperative Pain after Different Transscleral Laser Cyclophotocoagulation Procedures

Thomas Falb, Astrid Heidinger, Fabian Wallisch, Hrvoje Tomasic, Domagoj Ivastinovic, Marlene Lindner, Franz Tiefenthaller, Lukas Keintzel, Lukas Hoeflechner, Regina Riedl, Anton Hommer and Ewald Lindner ()
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Thomas Falb: Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria
Astrid Heidinger: Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria
Fabian Wallisch: Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria
Hrvoje Tomasic: Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria
Domagoj Ivastinovic: Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria
Marlene Lindner: Department of Dentistry and Oral Health, Medical University Graz, 8036 Graz, Austria
Franz Tiefenthaller: Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria
Lukas Keintzel: Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria
Lukas Hoeflechner: Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria
Regina Riedl: Institute for Medical Informatics, Statistics and Documentation, Medical University Graz, 8036 Graz, Austria
Anton Hommer: Department of Ophthalmology, Sanatorium Hera, 1090 Vienna, Austria
Ewald Lindner: Department of Ophthalmology, Medical University Graz, 8036 Graz, Austria

IJERPH, 2023, vol. 20, issue 3, 1-8

Abstract: Background: As the number of surgical options in glaucoma treatment is continuously rising, evidence regarding distinctive features of these surgeries is becoming more and more important for clinicians to choose the right surgical treatment for each individual patient. Methods: For this retrospective data analysis, we included glaucoma patients treated with either continuous wave (CW-TSCPC) or micropulse transscleral cyclophotocoagulation (MP-TSCPC) in an inpatient setting. Pain intensity was assessed using a numeric rating scale (NRS) ranging from 0 (no pain) to 10 (worst imaginable pain) during hospitalization. CW-TSCPC was performed using OcuLight ® Six (IRIDEX Corporation, Mountain View, CA, USA) and MP-TSCPC was performed using the IRIDEX ® Cyclo-G6 System (IRIDEX Corporation, Mountain View, CA, USA). Results: A total of 243 consecutive cases of TSCPC were included. Of these, 144 (59.26%) were treated with CW-TSCPC and 99 (40.74%) with MP-TSCPC. Using the univariable model, the risk for postoperative pain was observed to be lower in MP-TSCPC compared with CW-TSCPC (unadjusted: OR 0.46, 95% CI 0.24–0.84, p = 0.017), but this did not hold using the multivariable model (adjusted: OR 0.52, 95% CI 0.27–1.02, p = 0.056). Simultaneously conducted anterior retinal cryotherapy was associated with a higher risk for postoperative pain (OR 4.41, 95% CI 2.01–9.69, p < 0.001). Conclusions: We found that the occurrence of postoperative pain was not different in CW-TSCPC compared with MP-TSCPC in a multivariable model. In cases of simultaneous anterior retinal cryotherapy, the risk for postoperative pain was significantly higher.

Keywords: glaucoma; transscleral cyclophotocoagulation; postoperative pain (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2023
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