Comparison of Pain Scores Among Patients Undergoing Conventional and Novel Panretinal Photocoagulation for Diabetic Retinopathy: A Systematic Review

Azarcon, Corrina P.; Artiaga, Jose Carlo M

doi:10.2147/opth.s294227

Cited by 4 publications

(2 citation statements)

References 47 publications

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“…Various factors contribute to the delay in the diagnosis and treatment of DR. In countries where national DR screening programs have been implemented, it has been shown that reasons for the patient delay or nonparticipation in screening include insufficient social support [ 15 ] and poor patient compliance [ 16 ], inadequate awareness of DR [ 15 ], lack of DR-related visual symptoms [ 17 , 18 ], limited opportunities for dilated fundus examination [ 19 ], restrictions on seeking medical care due to systemic diseases [ 20 ], economic factors [ 16 ], racial differences [ 21 ] pain during treatment [ 22 ], and inability to achieve expected visual outcomes [ 17 , 18 ].…”

Section: Introductionmentioning

confidence: 99%

Investigation of the reasons for delayed presentation in proliferative diabetic retinopathy patients

Zhao,

Chandra,

Liu

et al. 2024

PLoS ONE

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Aim To investigate reasons for delayed presentation in patients with proliferative diabetic retinopathy (PDR). Methods A questionnaire was designed to investigate consecutive PDR patients with delayed presentation who visited our center between January 2021 and December 2021. The questionnaire was divided into four sections: knowledge regarding diabetic retinopathy (DR), attitude toward DR treatment, difficulties adhering to follow-up plans, and medical care. The systemic disease status and severity of DR were recorded. Logistic analysis was undertaken to investigate DR treatment refusal and delay factors. Results A total of 157 patients were included in this study, with an average age of 50.0 ± 11.6 years. The median glycated hemoglobin level (HbA1c) was 7.8% (IQR 2.5%). Among the 157 eyes, most required vitrectomy intervention (144, 91.7%); 17 developed neovascular glaucoma (NVG), while only 13 required additional photocoagulation. Among the 36 patients with undiagnosed DM, the reason for delayed DR presentation was a lack of awareness of DM status among these patients (36 cases, 100.0%). Most of the patients with a known history of DM exhibited inadequate DR knowledge (29, 24.0%), believed their good visual acuity did not require DR screening (98, 81.0%), and had poorly controlled diabetes (113, 93.3%). Factors related to refusing DR treatment were patients with an inability to receive regular diabetes treatment in internal medicine clinics (OR 6.78, 95% CI 1.73–26.59, p = 0.006), patients who could not tolerate discomfort during ophthalmic examination and treatment (OR 15.15, 95% CI 2.70–83.33, p<0.001), and patients who did not have any retinal abnormalities detected and were not informed about the need for regular screening (OR 2.05, 95% CI 1.36–3.09, p<0.001). Conclusions This study investigated the factors contributing to delayed presentation among patients with PDR. Many individuals in the delayed population were found to have undiagnosed DM. Among patients already aware of their DM status, reasons for delay included insufficient knowledge about DR, negative attitudes toward screening and treatment, and difficulties seeking medical care in real-life situations. Furthermore, there needed to be more improvements in the detection, treatment, and follow-up of DR by internal medicine practitioners and ophthalmologists.

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Section: Introductionmentioning

confidence: 99%

Investigation of the reasons for delayed presentation in proliferative diabetic retinopathy patients

Zhao,

Chandra,

Liu

et al. 2024

PLoS ONE

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“…The prevalence of diabetes among Chinese patients has increased annually, from 10.9% in 2013 to 12.4% in 2018 [18]. Investigating the reason for the delayed presentation of PDR is crucial for preventing DR-related blindness.…”

Section: Introduction：mentioning

confidence: 99%

Investigation of the reasons for delayed presentation in proliferative diabetic retinopathy patients

Zhao,

Chandra,

Liu

et al. 2023

Preprint

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AimTo investigate reasons for delayed presentation in patients with proliferative diabetic retinopathy (PDR).MethodsA questionnaire was designed to investigate consecutive PDR patients with delayed presentation who visited our center between January 2021 and December 2021. The questionnaire was divided into four sections: knowledge regarding diabetic retinopathy (DR), attitude toward DR treatment, difficulties adhering to follow-up plans, and medical care. The systemic disease status and severity of DR were recorded. Logistic analysis was undertaken to investigate DR treatment refusal and delay factors.ResultsA total of 157 patients were included in this study, with an average age of 50.0 ± 11.6 years. The overall glycemic control was poor, with a median glycated hemoglobin level (HbA1c) of 7.8% (IQR 2.5%). Among the 157 eyes, most required vitrectomy intervention (144, 91.7%); 17 developed neovascular glaucoma (NVG), while only 13 required additional photocoagulation. Among the 36 patients with undiagnosed DM, the reason for delayed DR presentation was a lack of awareness of DM status among these patients (36 cases, 100.0%). Most of the patients with a known history of DM exhibited inadequate DR knowledge (29, 24.0%), believed their good visual acuity did not require DR screening (98, 81.0%), and had poorly controlled diabetes (113, 93.3%). Factors related to refusing DR treatment were patients with an inability to receive regular diabetes treatment in internal medicine clinics (OR 6.78, 95% CI 1.73-26.59, p=0.006), patients who could not tolerate discomfort during ophthalmic examination and treatment (OR 15.15, 95% CI 2.70-83.33, p<0.001), and patients who did not have any retinal abnormalities detected and were not informed about the need for regular screening (OR 2.05, 95% CI 1.36-3.09, p<0.001).ConclusionsThis study investigated the factors contributing to delayed presentation among patients with PDR. Many individuals in the delayed population were found to have undiagnosed DM. Among patients already aware of their DM status, reasons for delay included insufficient knowledge about DR, negative attitudes toward screening and treatment, and difficulties seeking medical care in real-life situations.Furthermore, there needed to be more improvements in the detection, treatment, and follow-up of DR by internal medicine practitioners and ophthalmologists.

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Multimodal imaging of unusual macular macroaneurysm rupture after navigated retinal laser in a patient with adult onset Coats disease

Benlahbib

Semoun

Amoroso

et al. 2022

American Journal of Ophthalmology Case Reports

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Comparison of Pain Scores Among Patients Undergoing Conventional and Novel Panretinal Photocoagulation for Diabetic Retinopathy: A Systematic Review

Cited by 4 publications

References 47 publications

Investigation of the reasons for delayed presentation in proliferative diabetic retinopathy patients

Investigation of the reasons for delayed presentation in proliferative diabetic retinopathy patients

Investigation of the reasons for delayed presentation in proliferative diabetic retinopathy patients

Multimodal imaging of unusual macular macroaneurysm rupture after navigated retinal laser in a patient with adult onset Coats disease

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