Evidence map›Paper›PMID 29770638›Full record

ArticleKorean journal of ophthalmology : KJO2018

Factors Associated with Pain Following Intravitreal Injections.

Seong Hwan Shin, Sung Pyo Park, Yong Kyu Kim

2 registry-linked trialsOpen access · goldAbstract read
In one paragraph

Article in Korean journal of ophthalmology : KJO, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to 2 registered trials, which are not on this map. Cited by 13 papers.

0numbers the graph read from it
0cells of the map it votes in
13citing papers in PubMed
1.1field-weighted citation impact, top 23% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03871062 naunknown statusnot on this mapstarted 2019, after this paper: background citation

A Prospective, Randomised, Single-masked Comparison of Topical Anesthesia and Topical Combined Subconjunctival (Two-step) Anesthesia in Intravitreal Injection

TypeinterventionalSponsorAier School of Ophthalmology, Central South UniversityRan2019 to 2020Enrolled60ConditionsAnesthesia, LocalArmsTwo step anesthesia, topical anesthesia
NCT05542381 nacompletednot on this mapstarted 2022, after this paper: background citation

The Role of Loteprednol in Reducing Post-Intravitreal Injection Related Pain

TypeinterventionalSponsorVirginia Polytechnic Institute and State UniversityRan2022 to 2025Enrolled64ConditionsAge-Related Macular DegenerationArmsLoteprednol Etabonate Ophthalmic Gel [Lotemax], Refresh Lubricant Eye Drops [Artificial Tears]
3 · Its place in the literature

Who cites it

13 citing papers in PubMed, 20 citations in OpenAlex.

  1. Trial
  2. Trial
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  4. Article
  5. Review
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  7. Observational
  8. Article
  9. Article
  10. Cooling Anesthesia for Intravitreal Injections - A Review.Clinical ophthalmology (Auckland, N.Z.) · 2023
    Review
  11. Therapeutic Ultrasound for Topical Corneal Delivery of Macromolecules.Translational vision science & technology · 2022
    Article
  12. Article
  13. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 1 country.

Seong Hwan ShinDepartment of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Sung Pyo ParkDepartment of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea.
Yong Kyu KimDepartment of Ophthalmology, Kangdong Sacred Heart Hospital, Hallym University College of Medicine, Seoul, Korea. ykkim3@gmail.com.
Hallym University · KRKangdong Sacred Heart Hospital · KR

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

purposeTo investigate factors associated with pain intensity following intravitreal injection and factors that might be associated with changes in pain intensity in patients who received repeated injections.

methodsA total of 172 eyes (147 patients) were prospectively enrolled. Patients rated their pain from 0 to 10 using a visual analogue scale. Multiple linear regression analysis was used to evaluate factors associated with pain score. Sixty-eight patients evaluated their degree of pain more than once and were divided into three groups according to changes in pain during repeated injections. Clinical factors were compared among the three groups.

resultsPain scores of women (women, 3.1 ± 1.5 vs. men, 2.4 ± 1.2; p = 0.003), those who received dexamethasone implant injection (dexamethasone implant, 3.5 ± 1.1 vs. anti-vascular endothelial growth factor, 2.7 ± 1.4; p = 0.028), and those who did not undergo anterior chamber paracentesis (ACP) (ACP, 2.6 ± 1.3 vs. no ACP, 3.0 ± 1.6; p = 0.047) were significantly higher than those of the other groups. On multiple linear regression analysis, only female sex and ACP were significantly associated with degree of pain. The waiting time during the second injection was significantly associated with change in degree of pain in patients who received repeated injections.

conclusionsWomen were more prone to perceive pain, and the ACP procedure reduced pain during intravitreal injections. Most patients who received repeated injections felt that pain was similar or decreased compared to that experienced during the previous injection. However, increased waiting time might have been associated with increased discomfort for patients who received repeated injections.

Indexed as

Intravitreal InjectionsAdultAgedAged, 80 and overAngiogenesis InhibitorsAnterior ChamberDexamethasoneDiabetic RetinopathyDrug ImplantsEye PainFemaleGlucocorticoidsHumansMacular EdemaMaleMiddle AgedAngiogenesis InhibitorsDexamethasoneDrug ImplantsGlucocorticoidsVascular Endothelial Growth Factor AVEGFA protein, humanIntravitreal injectionsPainParacentesisSexVisual analogue scale

Identifiers

PMID29770638
PMCPMC5990646
OpenAlexW2806527343

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.