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Glaucoma
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MicroPulse TLT may be done under topical anesthesia

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“Topical Plus” anesthesia without standby anesthesia can provide adequate pain control for patients during and after MicroPulse Transscleral Laser Therapy (TLT) treatment, according to a small case series.

This retrospective, comparative chart review included 4 patients who underwent MicroPulse TLT treatment with “Topical Plus” anesthesia and 4 patients who underwent treatment with analgosedation with standby anesthesia. Patient pain was evaluated at baseline and at 1 hour, 6 hours, 1 day, 1 week, and 1 month postoperatively.

Patients in the “Topical Plus” anesthesia group reported a significantly increased pain level immediately after treatment, but at other time points, there were no differences in pain levels compared to baseline.

The vision-related quality of life was similar in the “Topical Plus” anesthesia group and the analgosedation group.

At 1 month after the treatment, vision-related quality of life was not negatively impacted.

Reference
Vasella B, Töteberg-Harms M. Topical Anesthesia Offers Sufficient Pain Control for MicroPulse Transscleral Laser Therapy for Glaucoma. J Ophthalmol. 2022;2022:6845434. doi: 10.1155/2022/6845434. PMID: 36189148; PMCID: PMC9519308.

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