Contribution of respiratory relaxation techniques during intravitreal injections: A pilot study

Purpose. - To study the effects of breathing techniques for anxiety, perceived pain, and patient satisfaction while receiving intravitreal injections. Method. - This prospective, randomized clinical study included patients admitted for intravitreal anti-VEGF injections. They were randomized into two groups: a relaxation group who listened to a prerecorded relaxation breathing session before and during the injection, and a control group who received the injection without a relaxation session. Statistical analysis was then performed to assess the factors influencing satisfaction, anxiety, and perceived pain. Results. - We included one-hundred four patients in total: 52 in the relaxation group versus 52 in the control group. The relaxation group had a greater decrease in anxiety than the control group (P=0.03) but similar levels of pain (P= 0.86). In total, 80.76% of patients in the relaxation group expressed the wish to have a relaxation session during their next injection. Multivariate analysis showed that the patient's usual level of stress as well as the relaxation session affected the level of anxiety experienced before the injection. Conclusion. - Relaxation techniques before and during intravitreal injections decrease anxiety in patients without decreasing pain during IVT. Prerecorded relaxation breathing sessions are non-invasive, inexpensive, easy to set up, and reduce anxiety during intravitreal injections on an outpatient basis. (C) 2021 Elsevier Masson SAS. All rights reserved.

Automated summary

Breathing relaxation techniques can reduce anxiety in patients receiving intravitreal injections, but do not decrease perceived pain. Most patients expressed a desire to continue relaxation sessions during their next injection.