Retina--Diseases, Retinal Degeneration, Retinal Detachment
Conditions
Keywords
Scleral Depression, Visual Analog Scale, Pain, Discomfort, Schocket Scleral Depressor, Cotton Tipped Applicator, Diabetes
Brief summary
Scleral depression is an important technique used to examine the peripheral retina but often causes patient discomfort. The goal of this study was to compare levels of discomfort during scleral depression with a Schocket scleral depressor and cotton tipped applicator.
Interventions
Scleral Depression on eye with Schocket scleral depressor
Scleral Depression on eye with cotton tipped applicator
Sponsors
Study design
Intervention model description
The first eye to undergo scleral depression was randomly assigned, then that eye was randomized two either of the scleral depression methods. The contralateral eye then had the alternative method of scleral depression performed.
Eligibility
Inclusion criteria
* Adult patients who received dilated eye examinations in the retina or general eye clinic
Exclusion criteria
* Younger than 18 * Pregnant * Prior scleral buckle, filtering bleb or underwent any other ocular surgery within the past month
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Discomfort During Scleral Depression with Schocket Depressor and Cotton Tipped Applicator | Pain evaluated immediately scleral depression was completed on the eye | Visual Analog Scale (VAS) was used to evaluate pain immediately after scleral depression was completed. The VAS scale used was a 100mm long line with 0 representing no pain at all and 100 representing the worst pain possible. |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Hemoglobin A1c | 1 year | The association of discomfort experienced during scleral depression and the patients hemoglobin A1c. |
| Spherical Equivalent of Glasses Prescription | 1 day | The association of discomfort experienced during scleral depression and the patients spherical equivalent of their glasses prescription. |
| Age | 1 day | The association of discomfort experienced during scleral depression and the patients age based on those less than 65 versus those greater than 65 years of age |
| Left Eye vs Right Eye | 1 day | The association of discomfort experienced during scleral depression and the patients left and right eyes. Of note, each eye had a separate method of scleral depression performed. |
| Retinal pathology | 1 day | Discomfort during scleral depression in participants with peripheral retinal tears or holes versus patients with no peripheral retinal pathology. |
Countries
United States