Our 'adequate analgesia' definition might provide a useful clinical target, which, combined with adequate communication, might help maximize patient satisfaction.

The NIAP significantly reduced time to analgesia. It was associated with high levels of parental satisfaction.

No abstract

A man in his 30s with type 1 diabetes presented with bilateral, highrisk,proliferativediabeticretinopathyandpreviouslyhadreceivedpanretinal photocoagulation. Visual acuity was 20/25 OD and 20/30 OS. Fluorescein angiography demonstrated extensive, multifocal areas of retinal capillary nonperfusion extending into the macular region and multipleareasofneovascularizationelsewhereintheposteriorpoleand midperiphery.Inthelefteye,fovealretinalneovascularizationwasidentified arising from the margins of an enlarged, irregular foveal avascu-lar zone (Figure). He received additional panretinal photocoagulation in both eyes and received 3 intravitreal injections of bevacizumab, 1.25 mg/0.05 mL, before regression of neovascularization was achieved. Visual acuity was 20/20 OD and 20/25 OS 8 months after the most recent intravitreal injection. Previous case reports described foveal retinal neovascularization and its association with macular capillary nonperfusion, 1,2 decreased choroidal perfusion, 3,4 and regression with panretinal photocoagulation. 1,3,5,6