Pain Management Strategies before Pan‐Retinal Photocoagulation for Diabetic Retinopathy: A Systematic Review Article Swipe
Mohammadkarim Johari
,
Mehdi Moallem
,
Abdulrahim Amini
,
Fatemeh Sanie‐Jahromi
·
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1155/2024/6662736
YOU?
·
· 2024
· Open Access
·
· DOI: https://doi.org/10.1155/2024/6662736
Purpose . This systematic review aims to consolidate key findings regarding the efficacy of pain relief medications administered prior to pan‐retinal photocoagulation (PRP) for diabetic retinopathy (DR). Methods . A comprehensive search of major databases from 1993 to 2023 was conducted. Clinical trials comparing pain relief drugs before PRP in patients diagnosed with DR requiring PRP treatment were eligible for inclusion. The assessment of pain scores involved the use of various scales, such as the visual analog scale (VAS), numerical rating scale (NRS), verbal rating scale (VRS), and other ordinal pain scales. In addition, laser parameters were taken into consideration during the analysis. Results . Twenty‐two clinical trials from initial 150 studies were included in the review. Nine studies evaluated the pain relief effects of nonsteroidal anti‐inflammatories NSAIDs (selective NSAID and nonselective NSAID), two studies compared the effects of opioids (conventional opioids and atypical opioids), and eleven studies investigated the effects of benzodiazepines, lidocaine, and other sedatives. Conclusion . This review synthesizes findings from multiple studies reporting pain as an adverse outcome of PRP in patients with advanced DR. Based on the evidence from reviewed clinical trials, the administration of lidocaine 2% via transconjunctival, retrobulbar, or peribulbar block along with specific NSAIDs, such as topical ketorolac administrated 24 hours before treatment or oral diclofenac potassium (50 mg) prior to PRP, demonstrated beneficial effects among patients with DR.
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Metadata
- Type
- review
- Language
- en
- Landing Page
- https://doi.org/10.1155/2024/6662736
- OA Status
- gold
- Cited By
- 3
- References
- 63
- Related Works
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- OpenAlex ID
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All OpenAlex metadata
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https://openalex.org/W4402155331Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1155/2024/6662736Digital Object Identifier
- Title
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Pain Management Strategies before Pan‐Retinal Photocoagulation for Diabetic Retinopathy: A Systematic ReviewWork title
- Type
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reviewOpenAlex work type
- Language
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enPrimary language
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2024Year of publication
- Publication date
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2024-01-01Full publication date if available
- Authors
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Mohammadkarim Johari, Mehdi Moallem, Abdulrahim Amini, Fatemeh Sanie‐JahromiList of authors in order
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https://doi.org/10.1155/2024/6662736Publisher landing page
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YesWhether a free full text is available
- OA status
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goldOpen access status per OpenAlex
- OA URL
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https://doi.org/10.1155/2024/6662736Direct OA link when available
- Concepts
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Medicine, Ketorolac, Clinical trial, Lidocaine, Adverse effect, Visual analogue scale, Diabetic retinopathy, Anesthesia, Analgesic, Diclofenac, Internal medicine, Diabetes mellitus, EndocrinologyTop concepts (fields/topics) attached by OpenAlex
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3Total citation count in OpenAlex
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2025: 3Per-year citation counts (last 5 years)
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10Other works algorithmically related by OpenAlex
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