Comfort Comparison of Intravitreal Injection Eyelid Retraction Techniques (Eyelid RETRACT)

New York City Health and Hospitals Corporation

Status: Completed

Conditions: Intravitreal Injection; Pain

Treatments: Other: Visual analog scale (VAS) of pain to evaluate the discomfort participants experience.

Study type: Interventional

Funder types: Other

Identifiers

NCT04144985

JJR223

Details and patient eligibility

About

This study evaluated the discomfort associated with eyelid retraction during intravitreal injections. Participants had eyelid retraction with one of three methods: eyelid speculum, unimanual eyelid retraction method or with a cotton tipped applicator eyelid retraction technique. All participants were given a pain survey immediately after the injection to evaluate their discomfort level.

Full description

Comfort is an important factor in compliance and satisfaction during medical care With the millions of intravitreal injections done each year, even small improvements in participants' experiences could lead to significant benefit. During the process eye injections, the method of eyelid retraction has been shown to be one of the most significant sources of discomfort.

Many ophthalmologists use an eyelid speculum to retract the eyelids, but potentially more comfortable methods exist. The purpose of our study was to test the comfort eyelid retraction with an eyelid speculum to that of the unimanual eyelid retraction method and a cotton tipped applicator eyelid retraction technique.

Enrollment: 99 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

• Adult participants receiving an intravitreal injection

Exclusion criteria

• iodine allergy
• prior ocular surgery other than uncomplicated cataract surgery

Trial design

Primary purpose: Prevention

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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99 participants in 3 patient groups

Eyelid Speculum

Active Comparator group

Description:

Eyelid retraction was performed with an eyelid speculum.

Treatment:

Other: Visual analog scale (VAS) of pain to evaluate the discomfort participants experience.

Cotton Tipped Applicator

Experimental group

Description:

Eyelid retraction was performed with the cotton tipped applicator eyelid retraction technique.

Treatment:

Other: Visual analog scale (VAS) of pain to evaluate the discomfort participants experience.

Unimanual Eyelid Retraction

Experimental group

Description:

Eyelid retraction was performed with the unimanual eyelid retraction method.

Treatment:

Other: Visual analog scale (VAS) of pain to evaluate the discomfort participants experience.