Bakhsh Saaquib R, Shields Ryan A, Tahboub Mohammad A, Capone Antonio
Beaumont Eye Institute, William Beaumont Hospital, Royal Oak, MI, USA.
Associated Retinal Consultants, Royal Oak, MI, USA.
J Vitreoretin Dis. 2021 Jun 2;6(1):47-53. doi: 10.1177/24741264211013649. eCollection 2022 Jan-Feb.
High-risk peripheral retinal pathology can be prophylactically treated with both laser photocoagulation (laser) and cryoretinopexy (cryopexy). We sought to identify a possible preference by patients toward one modality and any underlying association.
A single-center survey was conducted of patients with peripheral retinal pathology who received both laser and cryopexy at Associated Retinal Consultants (Royal Oak, Michigan). The main outcome measure was the preferred treatment modality.
Patients reported more pain after cryopexy (46%) than laser (11%). Most patients felt it was easier to recover from laser (52%) than cryopexy (13%). Overall, patients preferred laser (60%) to cryopexy (25%), with a minority (15%) having no preference. There was a negative relationship between a patient's likelihood of preferring cryopexy and the number of applications ( = .009).
Most patients preferred laser (60%) to cryopexy. If cryopexy is performed, minimizing the number of freezes may improve the patient's experience and recovery.
高危周边视网膜病变可通过激光光凝术（激光）和冷冻视网膜固定术（冷冻）进行预防性治疗。我们试图确定患者对这两种治疗方式的可能偏好以及任何潜在关联。
对在联合视网膜顾问中心（密歇根州皇家橡树）接受激光和冷冻治疗的周边视网膜病变患者进行了单中心调查。主要观察指标是首选的治疗方式。
患者报告冷冻治疗后疼痛的比例（46%）高于激光治疗（11%）。大多数患者认为激光治疗后的恢复（52%）比冷冻治疗（13%）更容易。总体而言，患者更喜欢激光治疗（60%）而非冷冻治疗（25%），少数患者（15%）无偏好。患者偏好冷冻治疗的可能性与冷冻次数之间存在负相关关系（ = 0.009）。
大多数患者更喜欢激光治疗（60%）而非冷冻治疗。如果进行冷冻治疗，尽量减少冷冻次数可能会改善患者的体验和恢复情况。
