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Patients' tolerance of bimanual lid retraction versus a metal speculum for intravitreal injections

Authors Alattas K

Received 21 May 2016

Accepted for publication 14 July 2016

Published 6 September 2016 Volume 2016:10 Pages 1719—1721

DOI https://doi.org/10.2147/OPTH.S113326

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Dr Colin Mak

Peer reviewer comments 3

Editor who approved publication: Dr Scott Fraser


Khadijah Alattas

Department of Ophthalmology, College of Medicine, King Abdulaziz University, Jeddah, Saudi Arabia

Objective: To compare patients’ acceptance of and correlate their pain level for bimanual versus metal speculum fixation in intravitreal injections.
Design: Prospective analysis.
Participants: Seventy-three eyes of 56 patients.
Methods: A questionnaire indicating patients’ discomfort and pain grading immediately after intravitreal injections using either bimanual fixation or metal speculum fixation (Barraquer Wire Speculum).
Results: Fifty-six patients who underwent intravitreal injections were enrolled in this study for various conditions. Patients’ overall pain and discomfort were as follows, right eye – bimanual was 0.3 on our grading scale with a standard deviation of 0.54, right eye – metal was 1.6 on our grading scale with a standard deviation of 1.5, left eye – bimanual was 0.41 on our grading scale with a standard deviation of 0.87, and left eye – metal was 1.91 on our grading scale with a standard deviation of 1.14 (P=0.003).
Conclusion: Patients who underwent bimanual fixation had a much more comfortable experience with less pain in comparison to patients who underwent metal speculum fixation.

Keywords: AMD, diabetic retionpathy, Avastin, eye injection

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