MicroPulse TLT may be done under topical anesthesia
“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.
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.