Analysis of influencing factors and countermeasures for adverse reactions after retinal laser photocoagulation

• Main Authors: Xiao-Dong Lian, Yan-Hong Dai, Rui-Zhen Ye, Zi-Yan Huang, Xue-Xi Li
• Format: Article
• Language: English
• Published: Press of International Journal of Ophthalmology (IJO PRESS) 2020-04-01
• Series: Guoji Yanke Zazhi
• Subjects: retinal laser photocoagulation; oculocardiac reflex; adverse reactions; fundus disease; pain
• Online Access: http://ies.ijo.cn/cn_publish/2020/4/202004037.pdf
• ISSN: 1672-5123; 1672-5123

AIM: To explore the influencing factors and coping strategies of adverse reaction after retinal laser photocoagulation.<p>METHODS: Retrospective analysis of 1 165 cases of adverse reactions in patients with retinal laser photocoagulation in our hospital.<p>RESULTS: The present study included 50 patients with adverse reactions in 1 165 patients(4.29%), including 13 patients with nausea and vomiting(1.12%), 21 patients with dizziness, chest tightness, cold sweat(1.80%), 4 cases with yawning and drowsiness(0.34%), 12 cases with syncope(1.03%), and no death. There was no difference in the incidence of adverse reactions between men and women(3.68% <i>vs</i> 5.14%, χ²=1.474, <i>P</i>=0.225); there was a difference in the incidence of adverse reactions among patients of different ages(χ²=48.817, <i>P</i><0.05)and under 40. The incidence of adverse reactions was higher than that of patients aged 40 and older, and the incidence of adverse reactions in men under 40 was significantly lower than that in women(8.46% <i>vs</i> 18.60%, χ²=6.094, <i>P</i>=0.014). The adverse reactions of patients with different fundus diseases were different.<p>CONCLUSION: The incidence and degree of postoperative adverse reactions in patients with fundus diseases treated by retinal laser photocoagulation are different, so we should understand the history and mental state of the patients in detail before operation, and prepare the patients with high risk factors and possible serious reactions in time to ensure the safety of the patients.